Renny Russell Dc Pc is a medicare enrolled "Chiropractor" provider in Pleasant Valley, Missouri. Their current practice location is
6624 Royal St, Pleasant Valley, Missouri. You can reach out to their office (for appointments etc.) via phone at
(816) 824-9690.
Renny Russell Dc Pc is licensed to practice in Missouri (license number 2008015663) and it also participates in the medicare program. Renny Russell Dc Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1609019587.
Healthcare Provider's Profile
Full Name | Renny Russell Dc Pc |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 6624 Royal St, Pleasant Valley, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1609019587
- Provider Enumeration Date: 04/08/2009
- Last Update Date: 11/29/2016
Medicare PECOS Information:
- PECOS PAC ID: 6800944430
- Enrollment ID: O20090508000032
Medical Identifiers
Medical identifiers for Renny Russell Dc Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609019587 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 2008015663 (Missouri) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Renny Russell Dc Pc acts as a billing entity for following providers:
Provider Name | Renny B Russell |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1003905456 PECOS PAC ID: 1456409085 Enrollment ID: I20090508000028 |
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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. Renny Russell Dc Pc 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 |
Renny Russell Dc Pc 6624 Royal St, Pleasant Valley, MO 64068-8711 Ph: (816) 824-9690 | Renny Russell Dc Pc 6624 Royal St, Pleasant Valley, MO 64068-8711 Ph: (816) 824-9690 |
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