Matthew Eb Russell, in Houton, TX - Medicare Psychologist Provider

Matthew Eb Russell, is a medicare enrolled "Psychologist - Clinical" provider in Houton, Texas. His current practice location is 1504 Ben Taub Loop, Houton, Texas. You can reach out to his office (for appointments etc.) via phone at (713) 873-2000.

Matthew Eb Russell is licensed to practice in Texas (license number 38283) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487203485.

Contact Information

	Matthew Eb Russell,
	1504 Ben Taub Loop, Houton, TX 77030
	(713) 873-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Eb Russell
Gender	Male
Speciality	Psychologist - Clinical
Location	1504 Ben Taub Loop, Houton, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487203485
Provider Enumeration Date: 09/11/2019
Last Update Date: 09/11/2019

Medicare PECOS Information:

PECOS PAC ID: 7517394877
Enrollment ID: I20200226000544

Medical Identifiers

Medical identifiers for Matthew Eb Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487203485	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	38283 (Texas)	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. Matthew Eb Russell allows following entities to bill medicare on his behalf.

Entity Name	Baylor College Of Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053352914 PECOS PAC ID: 8224941265 Enrollment ID: O20031106000562

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. Matthew Eb 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
Matthew Eb Russell, 1502 Taub Loop, Houston, TX 77030-1608 Ph: () -	Matthew Eb Russell, 1504 Ben Taub Loop, Houton, TX 77030 Ph: (713) 873-2000

Matthew Eb Russell, - Medicare Psychologist in Houton, TX