Nathanael William Russell, LMSW, QMHP in Port Huron, MI - Medicare Clinical Social Worker Provider

Nathanael William Russell, LMSW, QMHP is a medicare enrolled "Social Worker - Clinical" provider in Port Huron, Michigan. He graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice St Clair County Community Mental Health Authority and his current practice location is 3111 Electric Ave, Port Huron, Michigan. You can reach out to his office (for appointments etc.) via phone at (810) 966-7898.

Nathanael William Russell is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093344681.

Contact Information

	Nathanael William Russell, LMSW, QMHP
	3111 Electric Ave, Port Huron, MI 48060-8127
	(810) 966-7898
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nathanael William Russell
Gender	Male
Speciality	Clinical Social Worker
Experience	5 Years
Location	3111 Electric Ave, Port Huron, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nathanael William Russell graduated from medical school in 2020

NPI Data:

NPI Number: 1093344681
Provider Enumeration Date: 04/06/2020
Last Update Date: 02/28/2023

Medicare PECOS Information:

PECOS PAC ID: 1254713886
Enrollment ID: I20220729000473

Medical Identifiers

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

Identifier	Type	State	Issuer
1093344681	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801106998 (Michigan)	Secondary
1041C0700X	Social Worker - Clinical	6801114888 (Michigan)	Secondary
1041C0700X	Social Worker - Clinical	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Clair County Community Mental Health Authority	7416861984	50

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. Nathanael William Russell allows following entities to bill medicare on his behalf.

Entity Name	St Clair County Community Mental Health Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689783672 PECOS PAC ID: 7416861984 Enrollment ID: O20031118000783

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. Nathanael William 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
Nathanael William Russell, LMSW, QMHP 2837 Walnut St, Port Huron, MI 48060-2162 Ph: (810) 858-1759	Nathanael William Russell, LMSW, QMHP 3111 Electric Ave, Port Huron, MI 48060-8127 Ph: (810) 966-7898

Reviews and Comments

Social Worker in Port Huron, MI

Sara M Tavora, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 520 Superior St, Port Huron, MI 48060 Phone: 810-984-4202 Fax: 810-984-8896
Heather Stewart, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900
Callie Gunn, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900
Brian Fanion, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900
Mr. Robert Marshall Ii, LMSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900
Kristen M Azzinaro, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900
Mrs. Deborah Louise Kokoszka, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3111 Electric Ave, Port Huron, MI 48060 Phone: 810-985-8900

Nathanael William Russell, LMSW, QMHP - Medicare Clinical Social Worker in Port Huron, MI