Leah Av Russack-baker, LADC in Old Saybrook, CT

Leah Av Russack-baker, LADC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Old Saybrook, Connecticut. Her current practice location is 123 Elm St, Old Saybrook, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 395-1264.

Leah Av Russack-baker is licensed to practice in Connecticut (license number 03-973340) 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 1073822789.

Contact Information

	Leah Av Russack-baker, LADC
	123 Elm St, Old Saybrook, CT 06475
	(860) 395-1264
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Leah Av Russack-baker
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	123 Elm St, Old Saybrook, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073822789
Provider Enumeration Date: 09/29/2010
Last Update Date: 09/29/2010

Medicare PECOS Information:

PECOS PAC ID: 9234673898
Enrollment ID: I20240708000695

Medical Identifiers

Medical identifiers for Leah Av Russack-baker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073822789	NPI	-	NPPES
1730336439	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	03-973340 (Connecticut)	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. Leah Av Russack-baker allows following entities to bill medicare on her behalf.

Entity Name	Natchaug Hospital, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295811321 PECOS PAC ID: 5395648737 Enrollment ID: O20040202000008

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. Leah Av Russack-baker 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
Leah Av Russack-baker, LADC 123 Elm St, Old Saybrook, CT 06475-4108 Ph: (860) 395-1264	Leah Av Russack-baker, LADC 123 Elm St, Old Saybrook, CT 06475 Ph: (860) 395-1264

Reviews and Comments

Counselor in Old Saybrook, CT

Mary-katherine Louetta Peralez, LPC, LMHC, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 519 Boston Post Rd, Old Saybrook, CT 06475 Phone: 860-471-7896
Michelle Mclain, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Sunset Ave, Old Saybrook, CT 06475 Phone: 860-876-0881
Mrs. Amanda Rau Mckenna, Counselor Medicare: Medicare Enrolled Practice Location: 5 Seabreeze Rd, Old Saybrook, CT 06475 Phone: 860-209-6165
Jeffrey Alfonso Guance, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Elm St, Old Saybrook, CT 06475 Phone: 860-388-9656
Anthony Augustine, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 841 Middlesex Tpke, Old Saybrook, CT 06475 Phone: 860-395-0111 Fax: 860-395-1264
Karyn L Hester, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Old Boston Post Rd, Old Saybrook, CT 06475 Phone: 860-322-2082

Leah Av Russack-baker, LADC - Medicare Counselor in Old Saybrook, CT