Mrs Mary Beth Russo Blackwell, LCSW in Kansas City, MO

Mrs Mary Beth Russo Blackwell, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kansas City, Missouri. Her current practice location is 8080 Ward Pkwy, Suite 350, Kansas City, Missouri. You can reach out to her office (for appointments etc.) via phone at (913) 327-4690.

Mrs Mary Beth Russo Blackwell is licensed to practice in Missouri (license number 2010015725) 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 1063731263.

Contact Information

	Mrs Mary Beth Russo Blackwell, LCSW
	8080 Ward Pkwy, Suite 350, Kansas City, MO 64114-2034
	(913) 327-4690
	(816) 333-1776

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Mary Beth Russo Blackwell
Gender	Female
Speciality	Social Worker - Clinical
Location	8080 Ward Pkwy, Kansas City, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063731263
Provider Enumeration Date: 05/27/2010
Last Update Date: 05/27/2010

Medicare PECOS Information:

PECOS PAC ID: 8224359203
Enrollment ID: I20221115000356

Medical Identifiers

Medical identifiers for Mrs Mary Beth Russo Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063731263	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	2010015725 (Missouri)	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. Mrs Mary Beth Russo Blackwell allows following entities to bill medicare on her behalf.

Entity Name	Refresh Canopy Cove, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730661752 PECOS PAC ID: 3779822119 Enrollment ID: O20190304000354

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. Mrs Mary Beth Russo Blackwell 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
Mrs Mary Beth Russo Blackwell, LCSW 8080 Ward Pkwy, Suite 350, Kansas City, MO 64114-2034 Ph: (913) 327-4690	Mrs Mary Beth Russo Blackwell, LCSW 8080 Ward Pkwy, Suite 350, Kansas City, MO 64114-2034 Ph: (913) 327-4690

Reviews and Comments

Social Worker in Kansas City, MO

Mrs. Jessica Woodruff, PLCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9700 Grandview Rd, Kansas City, MO 64137 Phone: 816-508-3400 Fax: 816-508-3425
Ms. Nancy S. Wolff, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10918 Elm Ave Ste 102, Kansas City, MO 64134 Phone: 816-765-6600
Mrs. Holly Jackson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 511 W 86th Ter, Kansas City, MO 64114 Phone: 816-377-6872
Carol Thoma-perry, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 516 E 66th Ter, Kansas City, MO 64131 Phone: 816-803-1937
Mrs. Kristine Vince, LCSW, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 E 59th St, Kansas City, MO 64113 Phone: 816-363-1898 Fax: 816-822-7711
Mrs. Robin Christine Morrison, M.S.W., L.C.S.W Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2211 Charlotte St, Kansas City, MO 64108 Phone: 816-404-5738 Fax: 816-404-6025
Ms. Hope Bishop, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4801 E Linwood Blvd, Kansas City, MO 64128 Phone: 816-861-4700

Mrs Mary Beth Russo Blackwell, LCSW - Medicare Clinical Social Worker in Kansas City, MO