Amanda Didawick Russell, is a
Physical Therapist based in Spring Lake, North Carolina. Amanda Didawick Russell is licensed to practice in North Carolina (license number P20626) and her current practice location is
103 Sleepy Dr Ste G, Spring Lake, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 423-5622.
NPI number for Amanda Didawick Russell is 1124795802 and her current mailing address is 4602 Cumberland Rd, Fayetteville, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124795802.
Healthcare Provider's Profile
Full Name | Amanda Didawick Russell |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 103 Sleepy Dr Ste G, Spring Lake, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124795802
- Provider Enumeration Date: 08/30/2021
- Last Update Date: 02/01/2023
Medical Identifiers
Medical identifiers for Amanda Didawick Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124795802 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | P20626 (North Carolina) | Primary |
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. Amanda Didawick Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Amanda Didawick Russell, 4602 Cumberland Rd, Fayetteville, NC 28306-2412 Ph: (910) 423-5622 | Amanda Didawick Russell, 103 Sleepy Dr Ste G, Spring Lake, NC 28390-3319 Ph: (910) 423-5622 |
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