Dr Judy M Versola-russo, PSYD - Medicare Psychologist in Trappe, MD

  1. Home
  2. Psychologists
  3. MD
  4. Trappe
Dr Judy M Versola-russo, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Trappe, Maryland. Her current practice location is 29635 Ferry Point Dr, Trappe, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 725-4884.

Dr Judy M Versola-russo is licensed to practice in Maryland (license number 04931) 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 1912274937.

Contact Information

Dr Judy M Versola-russo, PSYD
29635 Ferry Point Dr,
Trappe, MD 21673-1621
(410) 725-4884
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Judy M Versola-russo
GenderFemale
SpecialityPsychologist - Clinical
Location29635 Ferry Point Dr, Trappe, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912274937
  • Provider Enumeration Date: 11/18/2011
  • Last Update Date: 11/18/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 9739593252
  • Enrollment ID: I20210125001687

Medical Identifiers

Medical identifiers for Dr Judy M Versola-russo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912274937NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 04931 (Maryland)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 Judy M Versola-russo allows following entities to bill medicare on her behalf.
Entity NamePsychogeriatric Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588689483
PECOS PAC ID: 6002719226
Enrollment ID: O20040128000532
Entity NameSupportive Care Of Maryland Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447802616
PECOS PAC ID: 9234460999
Enrollment ID: O20191107000137

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 Judy M Versola-russo 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 AddressPractice Location Address
Dr Judy M Versola-russo, PSYD
29635 Ferry Point Dr,
Trappe, MD 21673-1621

Ph: (410) 725-4884		Dr Judy M Versola-russo, PSYD
29635 Ferry Point Dr,
Trappe, MD 21673-1621

Ph: (410) 725-4884

Reviews and Comments


Psychologist in Trappe, MD


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.