Travis Andre Russell, DDS - Medicare Dentist in Society Hill, SC

  1. Home
  2. Dentists
  3. SC
  4. Society Hill
Travis Andre Russell, DDS is a medicare enrolled "Dentist - Dental Public Health" provider in Society Hill, South Carolina. His current practice location is 737 S Main St, Society Hill, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 857-0111.

Travis Andre Russell is licensed to practice in South Carolina (license number 9255) 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 1861976839.

Contact Information

Travis Andre Russell, DDS
737 S Main St,
Society Hill, SC 29593-8972
(843) 857-0111
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTravis Andre Russell
GenderMale
SpecialityDentist - Dental Public Health
Location737 S Main St, Society Hill, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1861976839
  • Provider Enumeration Date: 09/17/2018
  • Last Update Date: 06/11/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9830443597
  • Enrollment ID: I20181115000922

Medical Identifiers

Medical identifiers for Travis Andre Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861976839NPI-NPPES
ZX9255MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223D0001XDentist - Dental Public Health 9255 (South Carolina)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. Travis Andre Russell allows following entities to bill medicare on his behalf.
Entity NameCaresouth Carolina Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720082571
PECOS PAC ID: 1052221314
Enrollment ID: O20040511000280

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. Travis Andre 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 AddressPractice Location Address
Travis Andre Russell, DDS
Po Box 1090,
Hartsville, SC 29551-1090

Ph: (843) 857-0111		Travis Andre Russell, DDS
737 S Main St,
Society Hill, SC 29593-8972

Ph: (843) 857-0111

Reviews and Comments


Dentist in Society Hill, SC

Mae E Jesneck, DDS, LCSW
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 737 S Main St, Society Hill, SC 29593
Phone: 843-378-3000    Fax: 843-378-9869
Dr. Sean G Boynes, DMD, MS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 737 S Main St, Society Hill, SC 29593
Phone: 843-378-3000    Fax: 843-378-4209

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.