Alexander Geoffrey Russell, PT, DPT, CSCS in Avon, CT - Medicare Physical Therapist Provider

Alexander Geoffrey Russell, PT, DPT, CSCS is a medicare enrolled "Physical Therapist" provider in Avon, Connecticut. His current practice location is 60 Market St Ste 130, Avon, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 703-8505.

Alexander Geoffrey Russell is licensed to practice in Connecticut (license number 14282) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1750156956.

Contact Information

	Alexander Geoffrey Russell, PT, DPT, CSCS
	60 Market St Ste 130, Avon, CT 06001-4282
	(860) 703-8505
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alexander Geoffrey Russell
Gender	Male
Speciality	Physical Therapist
Location	60 Market St Ste 130, Avon, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750156956
Provider Enumeration Date: 11/17/2023
Last Update Date: 06/26/2024

Medicare PECOS Information:

PECOS PAC ID: 1052769858
Enrollment ID: I20231204002013

Medical Identifiers

Medical identifiers for Alexander Geoffrey Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750156956	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	27263 (Massachusetts)	Secondary
225100000X	Physical Therapist	14282 (Connecticut)	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. Alexander Geoffrey Russell allows following entities to bill medicare on his behalf.

Provider Name	Performance Rehabilitation Of Western New England Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1710919063 PECOS PAC ID: 7911979950 Enrollment ID: O20040810000712

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. Alexander Geoffrey 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
Alexander Geoffrey Russell, PT, DPT, CSCS 60 Market St Ste 130, Avon, CT 06001-4282 Ph: () -	Alexander Geoffrey Russell, PT, DPT, CSCS 60 Market St Ste 130, Avon, CT 06001-4282 Ph: (860) 703-8505

Reviews and Comments

Physical Therapist in Avon, CT

Jonathan Soderquist, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 44 Dale Rd, Suite 203, Avon, CT 06001 Phone: 860-674-1713 Fax: 860-674-1848
Bernardine Lapaan, Physical Therapist Medicare: Medicare Enrolled Practice Location: 44 Dale Rd Ste 203, Avon, CT 06001 Phone: 860-674-1713
Cynthia Langer, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 45 E Main St, Avon, CT 06001 Phone: 860-402-7743
Thomas Kirsch, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 44 Dale Rd Ste 203, Avon, CT 06001 Phone: 860-674-1713
Mr. Bartlomiej Kolcz, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 44 Dale Rd Ste 203, Avon, CT 06001 Phone: 860-674-1713
Keely Yarish, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 44 Dale Rd Ste 203, Avon, CT 06001 Phone: 860-674-1713
Eric Horne, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 44 Dale Rd, Avon, CT 06001 Phone: 860-674-6713 Fax: 860-674-1848

Alexander Geoffrey Russell, PT, DPT, CSCS - Medicare Physical Therapist in Avon, CT