Mr Kevin T Russell, BS, MSPT in Guilford, CT - Medicare Physical Therapist Provider

Mr Kevin T Russell, BS, MSPT is a medicare enrolled "Physical Therapist" provider in Guilford, Connecticut. His current practice location is 111 Goose Lane, Ste 2500, Guilford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 453-0134.

Mr Kevin T Russell is licensed to practice in Connecticut (license number 4359) 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 1881601318.

Contact Information

	Mr Kevin T Russell, BS, MSPT
	111 Goose Lane, Ste 2500, Guilford, CT 06437
	(203) 453-0134
	(203) 453-0167

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kevin T Russell
Gender	Male
Speciality	Physical Therapist
Location	111 Goose Lane, Guilford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881601318
Provider Enumeration Date: 08/01/2006
Last Update Date: 03/23/2012

Medicare PECOS Information:

PECOS PAC ID: 6709933864
Enrollment ID: I20090408000046

Medical Identifiers

Medical identifiers for Mr Kevin T Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881601318	NPI	-	NPPES
080004359CT04	Other	CT	BLUE CROSS BLUE SHEILD
004133906	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	4359 (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. Mr Kevin T Russell allows following entities to bill medicare on his behalf.

Provider Name	Ptsma Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1033773759 PECOS PAC ID: 7911800180 Enrollment ID: O20190712000494

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. Mr Kevin T 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
Mr Kevin T Russell, BS, MSPT 111 Goose Lane, Suite 2500, Guilford, CT 06437 Ph: (203) 453-0134	Mr Kevin T Russell, BS, MSPT 111 Goose Lane, Ste 2500, Guilford, CT 06437 Ph: (203) 453-0134

Reviews and Comments

Physical Therapist in Guilford, CT

Mary Mazor Callis, RPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 450 Boston Post Rd, Guilford, CT 06437 Phone: 203-453-0459 Fax: 203-466-8527
Mrs. Mary Jane Fegan, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 753 Boston Post Rd, Suite 101, Guilford, CT 06437 Phone: 203-458-6268
Zachary J Currie, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 385 Church St Ste 103, Guilford, CT 06437 Phone: 203-453-2844 Fax: 203-453-8772
Mrs. Dawn Maria Barber, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 753 Boston Post Rd, Suite 101, Guilford, CT 06437 Phone: 203-458-6268 Fax: 203-458-9230
Eric Meoli, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 705 Boston Post Rd Ste 5a, Guilford, CT 06437 Phone: 203-458-1645 Fax: 203-458-1689
Stephanie Rose Weady, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 753 Boston Post Road Suite 101, Guilford, CT 06437 Phone: 203-458-6268
Janelle Diane Mcelhany, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 399 Weatherly Trl, Guilford, CT 06437 Phone: 203-640-0792

Mr Kevin T Russell, BS, MSPT - Medicare Physical Therapist in Guilford, CT