Kelly Gravino Russell, LICSW in Ipswich, MA - Medicare Social Worker Provider

Kelly Gravino Russell, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Ipswich, Massachusetts. Her current practice location is 16 Bush Hill Rd, Ipswich, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 810-8397.

Kelly Gravino Russell is licensed to practice in Massachusetts (license number 110340) 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 1336244763.

Contact Information

	Kelly Gravino Russell, LICSW
	16 Bush Hill Rd, Ipswich, MA 01938-1642
	(978) 810-8397
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Gravino Russell
Gender	Female
Speciality	Social Worker - Clinical
Location	16 Bush Hill Rd, Ipswich, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336244763
Provider Enumeration Date: 09/13/2006
Last Update Date: 06/29/2020

Medicare PECOS Information:

PECOS PAC ID: 0042268641
Enrollment ID: I20050111000220

Medical Identifiers

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

Identifier	Type	State	Issuer
1336244763	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	110340 (Massachusetts)	Primary

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. Kelly Gravino 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
Kelly Gravino Russell, LICSW 16 Bush Hill Rd, Ipswich, MA 01938-1642 Ph: (978) 810-8397	Kelly Gravino Russell, LICSW 16 Bush Hill Rd, Ipswich, MA 01938-1642 Ph: (978) 810-8397

Reviews and Comments

Social Worker in Ipswich, MA

Geraldine E Gomery, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6 Stage Hill Road, Ipswich, MA 01938 Phone: 978-621-6850
Zoe Kessler, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25r Market St, Ipswich, MA 01938 Phone: 978-356-1776 Fax: 978-356-2822
Mary M Mcguire, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25r Market St, Ipswich, MA 01938 Phone: 978-356-1776 Fax: 978-356-2822
Mrs. Carrie L Stoner, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25r Market Street, Ipswich, MA 01938 Phone: 978-356-1776 Fax: 978-356-2822
Mrs. Faith Evans, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25r Market St, Ipswich, MA 01938 Phone: 978-356-1776 Fax: 978-356-2822
Ms. Nancy Cormier, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 25r Market Street, Ipswich, MA 01938 Phone: 978-356-1776 Fax: 978-356-2822
Ms. Mollie L. Monaco, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35 Mitchell Rd, Ipswich, MA 01938 Phone: 978-356-9321

Kelly Gravino Russell, LICSW - Medicare Clinical Social Worker in Ipswich, MA