Mr Scotty Wayne Russell, LMSW - Medicare Clinical Social Worker in Little Rock, AR

Mr Scotty Wayne Russell, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Little Rock, Arkansas. His current practice location is 4300 W 7th St, Little Rock, Arkansas. You can reach out to his office (for appointments etc.) via phone at (501) 257-3316.

Mr Scotty Wayne Russell is licensed to practice in Arkansas (license number 1783-M) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639391071.

Contact Information

Mr Scotty Wayne Russell, LMSW
4300 W 7th St,
Little Rock, AR 72205-5446
(501) 257-3316
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Scotty Wayne Russell
GenderMale
SpecialitySocial Worker - Clinical
Location4300 W 7th St, Little Rock, Arkansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639391071
  • Provider Enumeration Date: 05/03/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9830509157
  • Enrollment ID: I20201027002712

Medical Identifiers

Medical identifiers for Mr Scotty Wayne Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639391071NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 1783-M (Arkansas)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. Mr Scotty Wayne Russell allows following entities to bill medicare on his behalf.
Entity NameLife Within Counseling Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477051654
PECOS PAC ID: 0446684971
Enrollment ID: O20191216002838

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. Mr Scotty Wayne 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 AddressPractice Location Address
Mr Scotty Wayne Russell, LMSW
1007 W Booth Rd,
Searcy, AR 72143-8628

Ph: (501) 279-7658
Mr Scotty Wayne Russell, LMSW
4300 W 7th St,
Little Rock, AR 72205-5446

Ph: (501) 257-3316

Reviews and Comments


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Phone: 501-225-8092    Fax: 501-325-1711

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.