Mrs Holly Roxanne Russell, DPT in Marion, IL - Medicare Physical Therapist Provider

Mrs Holly Roxanne Russell, DPT is a medicare enrolled "Physical Therapist" provider in Marion, Illinois. Her current practice location is 2907 Williamson County Pkwy, Marion, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 998-9894.

Mrs Holly Roxanne Russell is licensed to practice in Illinois (license number ) 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 1689673410.

Contact Information

	Mrs Holly Roxanne Russell, DPT
	2907 Williamson County Pkwy, Marion, IL 62959-5256
	(618) 998-9894
	(618) 998-9993

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Holly Roxanne Russell
Gender	Female
Speciality	Physical Therapist
Location	2907 Williamson County Pkwy, Marion, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689673410
Provider Enumeration Date: 07/14/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3971405416
Enrollment ID: I20040123000931

Medical Identifiers

Medical identifiers for Mrs Holly Roxanne Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689673410	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(Illinois)	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. Mrs Holly Roxanne Russell allows following entities to bill medicare on her behalf.

Provider Name	Aegis Group Practice Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275259798 PECOS PAC ID: 5193036432 Enrollment ID: O20221130001868

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. Mrs Holly Roxanne 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
Mrs Holly Roxanne Russell, DPT 720 County Road 1435 N, Carmi, IL 62821-4827 Ph: (618) 382-3986	Mrs Holly Roxanne Russell, DPT 2907 Williamson County Pkwy, Marion, IL 62959-5256 Ph: (618) 998-9894

Reviews and Comments

Physical Therapist in Marion, IL

Ms. Jolly Yana Jumamil, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2219 B, Nicole Lane, Marion, IL 62959 Phone: 909-709-3860
Joyner Therapy Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2907 Williamson County Pkwy, Marion, IL 62959 Phone: 618-998-9894
Mrs. Jennifer Lynn Masterson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11953 Porsch Pl, Marion, IL 62959 Phone: 618-977-3732
Ivy Gallardo Donnelly, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 618-997-5311 Fax: 618-998-5688
Julie T Tiu, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3905 W Ernestine Dr, Suite B, Marion, IL 62959 Phone: 618-993-6237 Fax: 618-997-3529
Dr. Joshua Taylor Odum, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3116 Williamson County Pkwy, Marion, IL 62959 Phone: 618-993-8600
Jennifer J. Brimm, PTA, RN Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2401 W Main St, Marion, IL 62959 Phone: 850-763-0505

Mrs Holly Roxanne Russell, DPT - Medicare Physical Therapist in Marion, IL