| Abbey Russell, PC | |
|
1591 St Rt 160, Gallipolis, OH 45631-9052 | |
| (800) 321-8293 | |
| Not Available |
| Full Name | Abbey Russell |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1591 St Rt 160, Gallipolis, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558783159 | NPI | - | NPPES |
| 0200820 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | C1000129 (Ohio) | Primary |
| Entity Name | Integrated Services for Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073578431 PECOS PAC ID: 9234372525 Enrollment ID: O20130905000931 |
| Mailing Address | Practice Location Address |
|---|---|
| Abbey Russell, PC Po Box 132, Athens, OH 45701-0132 Ph: (800) 321-8293 | Abbey Russell, PC 1591 St Rt 160, Gallipolis, OH 45631-9052 Ph: (800) 321-8293 |
Ms. Bette Cromer Althof, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1456 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-8289 Fax: 740-446-2926 |
Angela Stowers, Counselor Medicare: May Accept Medicare Assignments Practice Location: 3090 Sr 160, Gallipolis, OH 45631 Phone: 740-592-6724 |
Rebecca Ashburn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3086 State Route 160, Gallipolis, OH 45631 Phone: 740-446-5500 Fax: 740-446-2159 |
Amber Mcguire Hopkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1086 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-9129 Fax: 740-446-9021 |
Summer Dawn Wickersham, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 254 Pinecrest Dr, Gallipolis, OH 45631 Phone: 740-578-4824 Fax: 740-578-4821 |
Jonathan Holley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1336 Jackson Pike, Gallipolis, OH 45631 Phone: 740-441-9800 |
Angel Jean Smith, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1354 Jackson Pike, Gallipolis, OH 45631 Phone: 740-441-9800 Fax: 740-441-9400 |