Mrs Amanda Russell, CSW in Slc, UT - Medicare Clinical Social Worker Provider

Mrs Amanda Russell, CSW is a medicare enrolled "Social Worker - Clinical" provider in Slc, Utah. She went to University Of Utah School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice University Of Utah Behavioral Health Services and her current practice location is 1578 W 1700 S, #200, Slc, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 972-2711.

Mrs Amanda Russell is licensed to practice in Utah (license number 5922570-3501) 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 1699730952.

Contact Information

	Mrs Amanda Russell, CSW
	1578 W 1700 S, #200, Slc, UT 84104-3470
	(801) 972-2711
	(801) 972-2709

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Amanda Russell
Gender	Female
Speciality	Clinical Social Worker
Experience	19 Years
Location	1578 W 1700 S, Slc, Utah
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:

Mrs Amanda Russell attended and graduated from University Of Utah School Of Medicine in 2005

NPI Data:

NPI Number: 1699730952
Provider Enumeration Date: 04/19/2006
Last Update Date: 02/25/2022

Medicare PECOS Information:

PECOS PAC ID: 0244623528
Enrollment ID: I20220209001191

Medical Identifiers

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

Identifier	Type	State	Issuer
1699730952	NPI	-	NPPES
788007788049	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	5922570-3502 (Utah)	Secondary
1041C0700X	Social Worker - Clinical	5922570-3501 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Utah Behavioral Health Services	9537483607	151

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. Mrs Amanda Russell allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah Behavioral Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118

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. Mrs Amanda 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
Mrs Amanda Russell, CSW 2828 S 1000 E, Slc, UT 84106-2278 Ph: (801) 972-2711	Mrs Amanda Russell, CSW 1578 W 1700 S, #200, Slc, UT 84104-3470 Ph: (801) 972-2711

Mrs Amanda Russell, CSW - Medicare Counselor in Slc, UT