Dr Sue Ann Russell, PHD in Grand Forks, ND - Medicare Psychologist Provider

Dr Sue Ann Russell, PHD is a medicare enrolled "Psychologist - Clinical" provider in Grand Forks, North Dakota. Her current practice location is 2704 Belmont Rd, Grand Forks, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 746-8737.

Dr Sue Ann Russell is licensed to practice in North Dakota (license number 241) 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 1043382773.

Contact Information

	Dr Sue Ann Russell, PHD
	2704 Belmont Rd, Grand Forks, ND 58201-7538
	(701) 746-8737
	(701) 746-4763

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Sue Ann Russell
Gender	Female
Speciality	Psychologist - Clinical
Location	2704 Belmont Rd, Grand Forks, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043382773
Provider Enumeration Date: 11/15/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 2567463391
Enrollment ID: I20070123000067

Medical Identifiers

Medical identifiers for Dr Sue Ann Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043382773	NPI	-	NPPES
17418	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	241 (North Dakota)	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 Sue Ann Russell allows following entities to bill medicare on her behalf.

Entity Name	Sue A Russell Phd Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942371067 PECOS PAC ID: 6204838436 Enrollment ID: O20070131000770

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 Sue Ann 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 Sue Ann Russell, PHD 2704 Belmont Rd, Grand Forks, ND 58201-7538 Ph: (701) 746-8737	Dr Sue Ann Russell, PHD 2704 Belmont Rd, Grand Forks, ND 58201-7538 Ph: (701) 746-8737

Reviews and Comments

Psychologist in Grand Forks, ND

Dr. Kara Brita Wettersten, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201 Phone: 701-772-1588 Fax: 701-746-6077
Ms. Leslie A Rowan, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2100 South Columbia Road, Suite 202, Grand Forks, ND 58201 Phone: 701-772-1588 Fax: 701-746-6077
Dr. Jonathan E Whalen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2808 17th Ave S, Grand Forks, ND 58201 Phone: 701-746-8376 Fax: 701-746-9872
Dr. Kyle Patrick De Young, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201 Phone: 701-772-1588
Dr. Jeanine E. Kotschwar, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201 Phone: 701-772-1588 Fax: 701-746-6077
Elizabeth J Luger, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3535 S 31st St Ste 201, Grand Forks, ND 58201 Phone: 701-780-6821 Fax: 701-780-1973

Dr Sue Ann Russell, PHD - Medicare Psychologist in Grand Forks, ND