Susanna Russell, MPT in Los Banos, CA - Medicare Physical Therapist Provider

Susanna Russell, MPT is a medicare enrolled "Physical Therapist" provider in Los Banos, California. Her current practice location is 312 W J St, Los Banos, California. You can reach out to her office (for appointments etc.) via phone at (209) 827-6178.

Susanna Russell is licensed to practice in California (license number 23511) 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 1093016610.

Contact Information

	Susanna 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	Susanna Russell
Gender	Female
Speciality	Physical Therapist
Location	312 W J St, Los Banos, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093016610
Provider Enumeration Date: 11/12/2010
Last Update Date: 11/12/2010

Medicare PECOS Information:

PECOS PAC ID: 1759570542
Enrollment ID: I20110328000886

Medical Identifiers

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

Identifier	Type	State	Issuer
1093016610	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	23511 (California)	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. Susanna Russell allows following entities to bill medicare on her 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. Susanna 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
Susanna Russell, MPT 312 W J St, Los Banos, CA 93635-4073 Ph: (209) 827-6178	Susanna 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
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, M.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 312 W J St, Los Banos, CA 93635 Phone: 209-827-6178 Fax: 209-827-6179

Susanna Russell, MPT - Medicare Physical Therapist in Los Banos, CA