Courtney Russo, LCSW in Coram, NY - Medicare Social Worker Provider

Courtney Russo, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Coram, New York. Her current practice location is 3600 Route 112, Coram, New York. You can reach out to her office (for appointments etc.) via phone at (631) 920-8675.

Courtney Russo is licensed to practice in New York (license number 093492) 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 1184188484.

Contact Information

	Courtney Russo, LCSW
	3600 Route 112, Coram, NY 11727-4116
	(631) 920-8675
	(929) 244-4997

Map and Direction

Healthcare Provider's Profile

Full Name	Courtney Russo
Gender	Female
Speciality	Social Worker - Clinical
Location	3600 Route 112, Coram, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184188484
Provider Enumeration Date: 01/31/2019
Last Update Date: 05/29/2025

Medicare PECOS Information:

PECOS PAC ID: 7214319557
Enrollment ID: I20220802003382

Medical Identifiers

Medical identifiers for Courtney Russo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184188484	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	093492 (New York)	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. Courtney Russo allows following entities to bill medicare on her behalf.

Entity Name	Psch Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932125721 PECOS PAC ID: 0749179570 Enrollment ID: O20040311000454

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. Courtney Russo 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
Courtney Russo, LCSW 3600 Route 112, Coram, NY 11727-4116 Ph: (631) 920-8546	Courtney Russo, LCSW 3600 Route 112, Coram, NY 11727-4116 Ph: (631) 920-8675

Reviews and Comments

Social Worker in Coram, NY

Ms. Carole R Rose, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5 Chipmunk Trl, Coram, NY 11727 Phone: 631-828-4639 Fax: 631-828-4639
Debbie Gross, LCSW-R Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 4 Otter Path, Coram, NY 11727 Phone: 516-764-5522 Fax: 516-764-0154
Aubrey Romano, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 3600 Route 112, Coram, NY 11727 Phone: 631-920-8521
Mr. Bruce M Grossman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 Hyson Way, Coram, NY 11727 Phone: 631-698-0134
Joseph Illovsky, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 34 Teller Ave, Coram, NY 11727 Phone: 631-449-3678
Valerie Hunter-king, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Carnaby Ave, Coram, NY 11727 Phone: 917-501-0847

Courtney Russo, LCSW - Medicare Clinical Social Worker in Coram, NY