Caisie Madison Russell, LCSW-C is a medicare enrolled "Social Worker - Clinical" provider in Elkton, Maryland. Her current practice location is
111 E Main St Ste B, Elkton, Maryland. You can reach out to her office (for appointments etc.) via phone at
(443) 406-3234.
Caisie Madison Russell is licensed to practice in Maryland (license number 28593) 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 1114591872.
Healthcare Provider's Profile
Full Name | Caisie Madison Russell |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 111 E Main St Ste B, Elkton, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114591872
- Provider Enumeration Date: 05/18/2021
- Last Update Date: 02/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 1153851951
- Enrollment ID: I20250210000631
Medical Identifiers
Medical identifiers for Caisie Madison Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114591872 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 2415 (Maryland) | Secondary |
1041C0700X | Social Worker - Clinical | 28593 (Maryland) | 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. Caisie Madison Russell allows following entities to bill medicare on her behalf.
Entity Name | Project Chesapeake, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134539208 PECOS PAC ID: 2769603034 Enrollment ID: O20141030000682 |
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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. Caisie Madison 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 |
Caisie Madison Russell, LCSW-C 290 W Claiborne Rd Apt 303, North East, MD 21901-3449 Ph: (443) 306-6162 | Caisie Madison Russell, LCSW-C 111 E Main St Ste B, Elkton, MD 21921-5996 Ph: (443) 406-3234 |
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