Mr Scott Kevin Russell, MPT in Los Banos, CA - Medicare Physical Therapy Provider

Mr Scott Kevin Russell, MPT is a medicare enrolled "Physical Therapist" provider in Los Banos, California. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Sport And Rehab Physical Therapy and his current practice location is 312 W J St, Los Banos, California. You can reach out to his office (for appointments etc.) via phone at (209) 827-6178.

Mr Scott Kevin Russell is licensed to practice in California (license number PT23597) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285742742.

Contact Information

	Mr Scott Kevin Russell, MPT
	312 W J St, Los Banos, CA 93635-4073
	(209) 827-6178
	(209) 827-6179

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Scott Kevin Russell
Gender	Male
Speciality	Physical Therapy
Experience	26 Years
Location	312 W J St, Los Banos, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Scott Kevin Russell graduated from medical school in 1998

NPI Data:

NPI Number: 1285742742
Provider Enumeration Date: 08/26/2006
Last Update Date: 01/27/2015

Medicare PECOS Information:

PECOS PAC ID: 2961432000
Enrollment ID: I20050817001063

Medical Identifiers

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

Identifier	Type	State	Issuer
1285742742	NPI	-	NPPES
PT0235970	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT23597 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sport And Rehab Physical Therapy	0042350357	5

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 Scott Kevin Russell allows following entities to bill medicare on his behalf.

Provider Name	Sport & Rehab Physical Therapy
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558512327 PECOS PAC ID: 0042350357 Enrollment ID: O20091217000424

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 Scott Kevin 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 Scott Kevin Russell, MPT 312 W J St, Los Banos, CA 93635-4069 Ph: (209) 827-6178	Mr Scott Kevin Russell, MPT 312 W J St, Los Banos, CA 93635-4073 Ph: (209) 827-6178

Reviews and Comments

Physical Therapist in Los Banos, CA

Glenn Ernest Fabian, Physical Therapist Medicare: Medicare Enrolled Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178
Ignacio Protto, Physical Therapist Medicare: Medicare Enrolled Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178
Neptahli Santarin Parian, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 Fax: 208-827-6179
Susanna Russell, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 Fax: 209-827-6179
Yashesh Goradia, MSPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 Fax: 301-278-9852
Raymond Bradley Dunne, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 285 Mercey Springs Rd, Suite A, Los Banos, CA 93635 Phone: 209-829-0444 Fax: 209-829-0445

Mr Scott Kevin Russell, MPT - Medicare Physical Therapist in Los Banos, CA