Dr David Lee Russell, EDD in Portage, MI - Medicare Clinical Psychologist Provider

Dr David Lee Russell, EDD is a medicare enrolled "Psychologist" provider in Portage, Michigan. He graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Mid America Psychological Services Pc, Julie L Stover Llc and his current practice location is 8036 Moorsbridge Road, Suite #2, Portage, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 327-1438.

Dr David Lee Russell is licensed to practice in Michigan (license number 6301006163) 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 1548362171.

Contact Information

	Dr David Lee Russell, EDD
	8036 Moorsbridge Road, Suite #2, Portage, MI 49024-4417
	(269) 327-1438
	(269) 327-6454

Map and Direction

Healthcare Provider's Profile

Full Name	Dr David Lee Russell
Gender	Male
Speciality	Clinical Psychologist
Experience	35 Years
Location	8036 Moorsbridge Road, Portage, Michigan
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:

Dr David Lee Russell graduated from medical school in 1989

NPI Data:

NPI Number: 1548362171
Provider Enumeration Date: 09/03/2006
Last Update Date: 02/08/2008

Medicare PECOS Information:

PECOS PAC ID: 1052484748
Enrollment ID: I20080714000280

Medical Identifiers

Medical identifiers for Dr David Lee Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548362171	NPI	-	NPPES
OC910420	Other		BCBS
OC94582	Other		BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6301006163 (Michigan)	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. Dr David Lee Russell allows following entities to bill medicare on his behalf.

Entity Name	Mid America Psychological Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376682641 PECOS PAC ID: 1759374812 Enrollment ID: O20040415000412

Entity Name	Hope Kerr Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942930557 PECOS PAC ID: 0749656205 Enrollment ID: O20221025001264

Entity Name	Julie L Stover Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669183521 PECOS PAC ID: 2466819487 Enrollment ID: O20230607001493

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. Dr David Lee 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
Dr David Lee Russell, EDD Po Box 2585, Portage, MI 49081-2585 Ph: (269) 381-0150	Dr David Lee Russell, EDD 8036 Moorsbridge Road, Suite #2, Portage, MI 49024-4417 Ph: (269) 327-1438

Reviews and Comments

Psychologist in Portage, MI

Patricia Shull-blood, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5148 Lovers Ln, Suite 200, Portage, MI 49002 Phone: 269-343-3010 Fax: 269-343-3017
Mr. Timothy Lewis Radabaugh, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 742 Ludington Ave, Portage, MI 49002 Phone: 269-876-0228
Lee Carlin Sanders, MA LLP LMSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10056 Woodlawn Dr, Portage, MI 49002 Phone: 269-324-9805
Dr. Kristin Rae Gillen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1514 W Milham Ave, Portage, MI 49024 Phone: 269-342-0606
Dr. Ollie Garfield Barnes Iii, ED.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 576 Romence Rd, Suite 222, Portage, MI 49024 Phone: 269-207-7373 Fax: 269-323-2282
Sheri L Heflin, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1662 E Centre Ave, Portage, MI 49002 Phone: 269-321-8564 Fax: 269-321-8641
Mr. Chad E Muffley, MA LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5220 Lovers Lane, Suite 120, Portage, MI 49002 Phone: 269-344-3080 Fax: 269-344-0543

Dr David Lee Russell, EDD - Medicare Psychologist in Portage, MI