Dr Susan F Russell, PHD,THD, LAC,LMSW is a
Acupuncturist based in Marietta, Georgia. Dr Susan F Russell is licensed to practice in Georgia (license number 87) and her current practice location is
4343 Shallowford Rd, Suite H-5, Marietta, Georgia. She can be reached at her office (for appointments etc.) via phone at
(770) 552-4155.
NPI number for Dr Susan F Russell is 1558644617 and her current mailing address is 4343 Shallowford Rd, Suite H-5, Marietta, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558644617.
Healthcare Provider's Profile
| Full Name | Dr Susan F Russell |
|---|
| Gender | Female |
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| Speciality | Acupuncturist |
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| Location | 4343 Shallowford Rd, Marietta, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558644617
- Provider Enumeration Date: 09/26/2011
- Last Update Date: 09/26/2011
Medical Identifiers
Medical identifiers for Dr Susan F Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558644617 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 001798 LMSW (Georgia) | Secondary |
| 103TF0000X | Psychologist - Family | 1798 LMSW (Georgia) | Secondary |
| 171100000X | Acupuncturist | 87 (Georgia) | Primary |
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 Susan F Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Susan F Russell, PHD,THD, LAC,LMSW
4343 Shallowford Rd, Suite H-5,
Marietta, GA 30062-5023
Ph: (770) 552-4155 | Dr Susan F Russell, PHD,THD, LAC,LMSW
4343 Shallowford Rd, Suite H-5,
Marietta, GA 30062-5023
Ph: (770) 552-4155 |
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