| Mr Paul Russell, MSW, LISW | |
|
10330 Brookside Dr, Perrysburg, OH 43551-7224 | |
| (419) 973-0842 | |
| Not Available |
| Full Name | Mr Paul Russell |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 10330 Brookside Dr, Perrysburg, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548674088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.1440417 (Ohio) | Primary |
| 104100000X | Social Worker | I.1440417 (Ohio) | Secondary |
| Entity Name | Mercy Health Physicians-north Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090616000750 |
| Entity Name | Mercy Health Physicians North Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Paul Russell, MSW, LISW 10330 Brookside Dr, Perrysburg, OH 43551-7224 Ph: (419) 973-0842 | Mr Paul Russell, MSW, LISW 10330 Brookside Dr, Perrysburg, OH 43551-7224 Ph: (419) 973-0842 |
Christina M Clemens, MSSA, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1103 Village Square Dr Ste 100, Perrysburg, OH 43551 Phone: 419-872-3213 Fax: 419-251-3572 | |
Jessica S Datta, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 975 Commerce Dr, Perrysburg, OH 43551 Phone: 419-874-0274 Fax: 419-874-9960 | |
Sarah E Simmons, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 885 Commerce Dr, Perrysburg, OH 43551 Phone: 419-931-6261 | |
Maren Simon, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 314 Louisiana Ave, Perrysburg, OH 43551 Phone: 567-331-8601 | |
Elizabeth L. Miller, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 30000 E River Rd, Perrysburg, OH 43551 Phone: 419-931-3440 Fax: 419-661-4020 | |
Jennifer Calhoun, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 975 Commerce Dr, Perrysburg, OH 43551 Phone: 419-874-0274 Fax: 419-874-0274 | |
Mrs. Elizabeth Kristen Skaff, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 975 Commerce Dr, Perrysburg, OH 43551 Phone: 419-874-0274 Fax: 419-874-9960 |