Theresa Russell, LCSW in Boynton Beach, FL - Medicare Social Worker Provider

Theresa Russell, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Boynton Beach, Florida. Her current practice location is 350 N Federal Hwy, 715, Boynton Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (631) 793-1365.

Theresa Russell is licensed to practice in Florida (license number SW12181) 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 1295266674.

Contact Information

	Theresa Russell, LCSW
	350 N Federal Hwy, 715, Boynton Beach, FL 33435-4171
	(631) 793-1365
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Theresa Russell
Gender	Female
Speciality	Social Worker - Clinical
Location	350 N Federal Hwy, Boynton Beach, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295266674
Provider Enumeration Date: 03/27/2017
Last Update Date: 03/27/2017

Medicare PECOS Information:

PECOS PAC ID: 5294110011
Enrollment ID: I20220915000390

Medical Identifiers

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

Identifier	Type	State	Issuer
1295266674	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW12181 (Florida)	Primary
1041C0700X	Social Worker - Clinical	R053958-1 (New York)	Secondary

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. Theresa Russell allows following entities to bill medicare on her behalf.

Entity Name	Mtca Psychological Services P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740552322 PECOS PAC ID: 6406010834 Enrollment ID: O20120614000204

Entity Name	Senior Living Memory Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851847834 PECOS PAC ID: 7517480577 Enrollment ID: O20250331001923

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. Theresa 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
Theresa Russell, LCSW 350 N Federal Hwy, 715, Boynton Beach, FL 33435-4171 Ph: (631) 793-1365	Theresa Russell, LCSW 350 N Federal Hwy, 715, Boynton Beach, FL 33435-4171 Ph: (631) 793-1365

Reviews and Comments

Social Worker in Boynton Beach, FL

Cynthia Dalton, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 Knuth Rd Ste 232, Boynton Beach, FL 33436 Phone: 561-732-8900
Mrs. Elizabeth Simon Klasko, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6196 Key Largo Ln, Boynton Beach, FL 33472 Phone: 610-390-4900
Nicole Morales, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2219 Ne 1st Ln, Boynton Beach, FL 33435 Phone: 561-267-1854
Mr. Richard Tracy Warren Ii, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3469 W Boynton Beach Blvd Ste 2, Pmb 1056, Boynton Beach, FL 33436 Phone: 561-299-0136
Lanette Burgess, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10301 Hagen Ranch Rd Ste B6, Boynton Beach, FL 33437 Phone: 561-752-9490 Fax: 561-752-9491
Mrs. Stephany Bonhometre, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5361 Rose Marie Ave N, Boynton Beach, FL 33472 Phone: 561-951-6919
Ms. Elaine P Donaghue, RN LCSW ACSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 115 W Woolbright Rd Bldg 2, Boynton Beach, FL 33435 Phone: 561-732-5006 Fax: 561-736-8224

Theresa Russell, LCSW - Medicare Clinical Social Worker in Boynton Beach, FL