Elysia Russell, LCSW in Farmington, NM - Medicare Social Worker Provider

Elysia Russell, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Farmington, New Mexico. Her current practice location is 313 W Apache St, Farmington, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 325-5321.

Elysia Russell is licensed to practice in New Mexico (license number SWB-2023-1117) 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 1114680071.

Contact Information

	Elysia Russell, LCSW
	313 W Apache St, Farmington, NM 87401-5835
	(505) 325-5321
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elysia Russell
Gender	Female
Speciality	Social Worker - Clinical
Location	313 W Apache St, Farmington, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114680071
Provider Enumeration Date: 10/18/2021
Last Update Date: 03/31/2025

Medicare PECOS Information:

PECOS PAC ID: 6002341815
Enrollment ID: I20241203000162

Medical Identifiers

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

Identifier	Type	State	Issuer
1114680071	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	13375769-3501 (Utah)	Secondary
1041C0700X	Social Worker - Clinical	CSW.09929906 (Colorado)	Secondary
1041C0700X	Social Worker - Clinical	SWB-2023-1117 (New Mexico)	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. Elysia Russell allows following entities to bill medicare on her behalf.

Entity Name	Pivots Potential Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073351862 PECOS PAC ID: 9032642764 Enrollment ID: O20241101001775

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. Elysia 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
Elysia Russell, LCSW 313 W Apache St, Farmington, NM 87401-5835 Ph: (505) 325-5321	Elysia Russell, LCSW 313 W Apache St, Farmington, NM 87401-5835 Ph: (505) 325-5321

Reviews and Comments

Social Worker in Farmington, NM

Richalyn B Fredriksen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3802 College Boulevard, Farmington, NM 87402 Phone: 505-599-8608
Catherine Michelle Roberts, LCSW, CCM Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2616 E 22nd St, Farmington, NM 87401 Phone: 505-608-1980
Janet Dodson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 653 W Arrington St, Farmington, NM 87401 Phone: 505-564-3733
Jo Davis, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1001 W Broadway, Ste. C, Farmington, NM 87401 Phone: 505-326-4383 Fax: 505-325-1925
Mr. Roy J. Tso Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3001 Northridge Dr, Farmington, NM 87401 Phone: 505-635-2030
Ashely Jack, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 653 W Arrington St, Farmington, NM 87401 Phone: 505-654-3733

Elysia Russell, LCSW - Medicare Clinical Social Worker in Farmington, NM