Alexandria Russell, in Philadelphia, PA - Medicare Speech-Language Pathologist Provider

Alexandria Russell, is a medicare enrolled "Speech-language Pathologist" provider in Philadelphia, Pennsylvania. Her current practice location is 12 S Letitia St Apt 204, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (917) 579-6305.

Alexandria Russell is licensed to practice in Pennsylvania (license number SL011710) 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 1669803664.

Contact Information

	Alexandria Russell,
	12 S Letitia St Apt 204, Philadelphia, PA 19106-3033
	(917) 579-6305
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alexandria Russell
Gender	Female
Speciality	Speech-language Pathologist
Location	12 S Letitia St Apt 204, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669803664
Provider Enumeration Date: 12/02/2013
Last Update Date: 12/02/2013

Medicare PECOS Information:

PECOS PAC ID: 6608262027
Enrollment ID: I20220412000338

Medical Identifiers

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

Identifier	Type	State	Issuer
1669803664	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SL011710 (Pennsylvania)	Primary
235Z00000X	Speech-language Pathologist	07161 (Maryland)	Secondary

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. Alexandria Russell allows following entities to bill medicare on her behalf.

Provider Name	Wynter Wellness Group Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1396403408 PECOS PAC ID: 5799171112 Enrollment ID: O20220411001663

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. Alexandria 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
Alexandria Russell, 12 S Letitia St Apt 204, Philadelphia, PA 19106-3033 Ph: () -	Alexandria Russell, 12 S Letitia St Apt 204, Philadelphia, PA 19106-3033 Ph: (917) 579-6305

Reviews and Comments

Speech-Language Pathologist in Philadelphia, PA

Ms. Laurie Elizabeth Tuten, CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 603 E Girard Ave, 2nd Floor, Philadelphia, PA 19125 Phone: 215-584-1194
Corinne Galvan, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 625 E Wister St, Philadelphia, PA 19144 Phone: 440-227-3490
Miss Monica Donat, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8853 Winchester Ave, Philadelphia, PA 19115 Phone: 215-298-4098
Jazmine Gordon, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7538 Elmwood Ave, Philadelphia, PA 19153 Phone: 215-435-5281
Mrs. Christina Zavrotny Pearson, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3975 Conshohocken Ave, Philadelphia, PA 19131 Phone: 215-879-1000 Fax: 215-879-3912
Katie Paul Glass, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 322 Reed St Apt 1f, Philadelphia, PA 19147 Phone: 267-307-4282
Ms. Stephanie Anne Zbikowski, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3975 Conshohocken Ave, Philadelphia, PA 19131 Phone: 215-879-1000 Fax: 215-879-3912

Alexandria Russell, - Medicare Speech-Language Pathologist in Philadelphia, PA