Lisa Parkes Russell, LPC is a medicare enrolled "Counselor - Professional" provider in Onancock, Virginia. She graduated from healthcare school in 2020 and has 6 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Clinical Associates Of Tidewater and her current practice location is
15290 Russell Dr, Onancock, Virginia. You can reach out to her office (for appointments etc.) via phone at
(757) 710-0550.
Lisa Parkes Russell is licensed to practice in Virginia (license number 0701013402) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225888225.
Healthcare Provider's Profile
| Full Name | Lisa Parkes Russell |
|---|
| Gender | Female |
|---|
| Speciality | Mental Health Counselor |
|---|
| Experience | 6 Years |
|---|
| Location | 15290 Russell Dr, Onancock, Virginia |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Lisa Parkes Russell graduated from medical school in 2020
NPI Data:
- NPI Number: 1225888225
- Provider Enumeration Date: 03/25/2024
- Last Update Date: 03/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 2264969369
- Enrollment ID: I20250102000385
Medical Identifiers
Medical identifiers for Lisa Parkes Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1225888225 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | 0701013402 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Clinical Associates Of Tidewater | 4981688744 | 8 |
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. Lisa Parkes Russell allows following entities to bill medicare on her behalf.
| Entity Name | Clinical Associates Of Tidewater |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1447341615 PECOS PAC ID: 4981688744 Enrollment ID: O20040617001131 |
|---|
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. Lisa Parkes 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 |
Lisa Parkes Russell, LPC 15290 Russell Dr, Onancock, VA 23417-3004 Ph: (757) 710-0550 | Lisa Parkes Russell, LPC 15290 Russell Dr, Onancock, VA 23417-3004 Ph: (757) 710-0550 |
Reviews and Comments