Kathleen Russell, OD is a medicare enrolled "Optometrist - Corneal And Contact Management" provider in Holland, Pennsylvania. Her current practice location is
295 Buck Rd, Suite 114, Holland, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(215) 953-1200.
Kathleen Russell is licensed to practice in Pennsylvania (license number OEG001346) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588683064.
Healthcare Provider's Profile
Full Name | Kathleen Russell |
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Gender | Female |
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Speciality | Optometrist - Corneal And Contact Management |
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Location | 295 Buck Rd, Holland, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588683064
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 10/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800852591
- Enrollment ID: I20150731015334
Medical Identifiers
Medical identifiers for Kathleen Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588683064 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152WC0802X | Optometrist - Corneal And Contact Management | OEG001346 (Pennsylvania) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathleen Russell allows following entities to bill medicare on her behalf.
Provider Name | Jason D Munitz O D & Scott Rutkoski O D Ptr |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1366640450 PECOS PAC ID: 2860706074 Enrollment ID: O20150731016589 |
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Provider Name | Myeyedr Optometry Of Pennsylvania Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1003264607 PECOS PAC ID: 3971884883 Enrollment ID: O20170109002363 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Russell is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kathleen Russell, OD 295 Buck Rd, Suite 114, Holland, PA 18966-1733 Ph: (215) 953-1200 | Kathleen Russell, OD 295 Buck Rd, Suite 114, Holland, PA 18966-1733 Ph: (215) 953-1200 |
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