Dr Leslie Ann Russell-martin, MS LMFT PHD LP is a medicare enrolled "Clinical Neuropsychologist" provider in Little Falls, Minnesota. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice True Balance Ltd and her current practice location is
16016 233rd St, Little Falls, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 632-5524.
Dr Leslie Ann Russell-martin is licensed to practice in Minnesota (license number LP4924) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073603163.
Healthcare Provider's Profile
| Full Name | Dr Leslie Ann Russell-martin |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 18 Years |
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| Location | 16016 233rd St, Little Falls, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Leslie Ann Russell-martin graduated from medical school in 2006
NPI Data:
- NPI Number: 1073603163
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 10/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 5597833517
- Enrollment ID: I20081003000678
Medical Identifiers
Medical identifiers for Dr Leslie Ann Russell-martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073603163 | NPI | - | NPPES |
| 360040800 | Medicaid | MN | |
| 730T3RU | Other | MN | BCBS OF MN PROVIDER NUMBE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | LP4924 (Minnesota) | Secondary |
| 106H00000X | Marriage & Family Therapist | MN #1351 (Minnesota) | Secondary |
| 103G00000X | Clinical Neuropsychologist | LP4924 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| True Balance Ltd | 5597833525 | 6 |
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 Leslie Ann Russell-martin allows following entities to bill medicare on her behalf.
| Entity Name | True Balance Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205025442
PECOS PAC ID: 5597833525
Enrollment ID: O20081003000683 |
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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 Leslie Ann Russell-martin 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 |
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Dr Leslie Ann Russell-martin, MS LMFT PHD LP
15920 233rd St,
Little Falls, MN 56345-5592
Ph: (320) 632-5524 | Dr Leslie Ann Russell-martin, MS LMFT PHD LP
16016 233rd St,
Little Falls, MN 56345-5583
Ph: (320) 632-5524 |
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