| Rachel A Russo, | |
|
2 Waterside Xing Ste 401, Windsor, CT 06095-1588 | |
| (860) 731-5522 | |
| (860) 731-5536 |
| Full Name | Rachel A Russo |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2 Waterside Xing Ste 401, Windsor, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518489517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Prospect Rockville Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205283538 PECOS PAC ID: 4880988211 Enrollment ID: O20160913001880 |
| Entity Name | Prospect Manchester Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316394638 PECOS PAC ID: 9234423625 Enrollment ID: O20160926000570 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel A Russo, 2 Waterside Xing Ste 401, Windsor, CT 06095-1588 Ph: (860) 731-5522 | Rachel A Russo, 2 Waterside Xing Ste 401, Windsor, CT 06095-1588 Ph: (860) 731-5522 |
Destiny Grant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 995 Day Hill Rd, Windsor, CT 06095 Phone: 860-731-5522 Fax: 860-731-5536 | |
Joyce A Erickson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1343 Hillside Cir, Windsor, CT 06095 Phone: 860-707-9438 | |
Nardine Staroverov, Counselor Medicare: Not Enrolled in Medicare Practice Location: 32 Maple Ave Ste C, Windsor, CT 06095 Phone: 860-593-4908 | |
Valerie Barrett-noel, Counselor Medicare: Medicare Enrolled Practice Location: 600 W Wolcott Ave, Windsor, CT 06095 Phone: 860-794-0652 | |
Antonette Bailey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 995 Day Hill Rd, Windsor, CT 06095 Phone: 860-731-5522 Fax: 860-731-5536 | |
Mrs. Rosanna Z Wilson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Kellogg St, Windsor, CT 06095 Phone: 860-219-1029 | |
Mr. Derek James Wilson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 Bloomfield Ave Ste 301, Windsor, CT 06095 Phone: 860-471-3819 |