Michele Renae Russell, DPT in Lakeside, AZ - Medicare Physical Therapy Provider

Michele Renae Russell, DPT is a medicare enrolled "Physical Therapist" provider in Lakeside, Arizona. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Foothills Sports Medicine And Rehabilitation Llc and her current practice location is 4830 Highway 260 Ste 105, Lakeside, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 532-1221.

Michele Renae Russell is licensed to practice in Arizona (license number 31790) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699343558.

Contact Information

	Michele Renae Russell, DPT
	4830 Highway 260 Ste 105, Lakeside, AZ 85929-5851
	(928) 532-1221
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Michele Renae Russell
Gender	Female
Speciality	Physical Therapy
Experience	3 Years
Location	4830 Highway 260 Ste 105, Lakeside, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Michele Renae Russell graduated from medical school in 2021

NPI Data:

NPI Number: 1699343558
Provider Enumeration Date: 06/16/2021
Last Update Date: 04/21/2022

Medicare PECOS Information:

PECOS PAC ID: 0042613259
Enrollment ID: I20210726003037

Medical Identifiers

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

Identifier	Type	State	Issuer
1699343558	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	31790 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Foothills Sports Medicine And Rehabilitation Llc	2668457979	162

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. Michele Renae Russell allows following entities to bill medicare on her behalf.

Provider Name	White Mountain Physical Therapy Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750385654 PECOS PAC ID: 0446142111 Enrollment ID: O20040326001159

Provider Name	Foothills Sports Medicine & Rehabilitation Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558318170 PECOS PAC ID: 2668457979 Enrollment ID: O20040621001886

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. Michele Renae 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
Michele Renae Russell, DPT Po Box 658, Lakeside, AZ 85929-0658 Ph: (928) 242-0821	Michele Renae Russell, DPT 4830 Highway 260 Ste 105, Lakeside, AZ 85929-5851 Ph: (928) 532-1221

Reviews and Comments

Physical Therapist in Lakeside, AZ

Derek R Flake, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4830 Highway 260 Ste 105, Lakeside, AZ 85929 Phone: 928-532-1221 Fax: 928-532-1227
Dr. Angela R Valentine, P.T., D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1355 W White Mountain Blvd Ste B, Lakeside, AZ 85929 Phone: 928-367-7325
Mary Katherine Hegarty, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 4830 Highway 260 Ste 105, Lakeside, AZ 85929 Phone: 928-532-1221
Eric Cox, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 W White Mountain Blvd Ste D, Lakeside, AZ 85929 Phone: 928-367-3913
Rachel K Ellsworth, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4830 Highway 260, Ste 105, Lakeside, AZ 85929 Phone: 928-532-1221 Fax: 928-532-1227
Peak Physical Therapy, Pllc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1355 W White Mountain Blvd, Suite B, Lakeside, AZ 85929 Phone: 928-367-7325
Kyle Douglas Howell, D.P.T Physical Therapist Medicare: Medicare Enrolled Practice Location: 4830 Highway 260 Ste 105, Lakeside, AZ 85929 Phone: 928-532-1221

Michele Renae Russell, DPT - Medicare Physical Therapist in Lakeside, AZ