Brooke Russell, DPT in Prophetstown, IL - Medicare Physical Therapist Provider

Brooke Russell, DPT is a medicare enrolled "Physical Therapist" provider in Prophetstown, Illinois. Her current practice location is 321 Washington St, Prophetstown, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 537-8899.

Brooke Russell is licensed to practice in Iowa (license number 076375) 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 1952791402.

Contact Information

	Brooke Russell, DPT
	321 Washington St, Prophetstown, IL 61277-1105
	(815) 537-8899
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brooke Russell
Gender	Female
Speciality	Physical Therapist
Location	321 Washington St, Prophetstown, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952791402
Provider Enumeration Date: 02/04/2015
Last Update Date: 10/16/2023

Medicare PECOS Information:

PECOS PAC ID: 1759607716
Enrollment ID: I20231020000878

Medical Identifiers

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

Identifier	Type	State	Issuer
1952791402	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	076375 (Iowa)	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. Brooke Russell allows following entities to bill medicare on her behalf.

Provider Name	Rock Valley Physical Therapy Center
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1245373166 PECOS PAC ID: 9638087877 Enrollment ID: O20040630000390

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. Brooke 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
Brooke Russell, DPT 850 43rd Ave Ste 100, Moline, IL 61265-8401 Ph: (309) 743-2070	Brooke Russell, DPT 321 Washington St, Prophetstown, IL 61277-1105 Ph: (815) 537-8899

Reviews and Comments

Physical Therapist in Prophetstown, IL

Rock Valley Physical Therapy Center Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 321 Washington St, Prophetstown, IL 61277 Phone: 815-537-8899 Fax: 815-537-8802
Kristie L Boll, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 321 Washington St, Prophetstown, IL 61277 Phone: 815-537-8899 Fax: 815-537-8802
Richa S Vaidya, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 E 3rd St, Prophetstown, IL 61277 Phone: 847-347-5254

Brooke Russell, DPT - Medicare Physical Therapist in Prophetstown, IL