William Russell, PCC in Ravenna, OH - Medicare Counselor Provider

William Russell, PCC is a medicare enrolled "Counselor - Professional" provider in Ravenna, Ohio. His current practice location is 3920 Lovers Ln, Ravenna, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 673-1347.

William Russell is licensed to practice in Ohio (license number E.1100210) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740698331.

Contact Information

	William Russell, PCC
	3920 Lovers Ln, Ravenna, OH 44266-4200
	(330) 673-1347
	(330) 678-3677

Map and Direction

Healthcare Provider's Profile

Full Name	William Russell
Gender	Male
Speciality	Counselor - Professional
Location	3920 Lovers Ln, Ravenna, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740698331
Provider Enumeration Date: 07/26/2014
Last Update Date: 07/26/2014

Medicare PECOS Information:

PECOS PAC ID: 9830541457
Enrollment ID: I20240119001019

Medical Identifiers

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

Identifier	Type	State	Issuer
1740698331	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	E.1100210 (Ohio)	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. William Russell allows following entities to bill medicare on his behalf.

Entity Name	Coleman Professional Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982637633 PECOS PAC ID: 2769474618 Enrollment ID: O20040331001085

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. William 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
William Russell, PCC 5982 Rhodes Rd, Kent, OH 44240-4128 Ph: (330) 673-1347	William Russell, PCC 3920 Lovers Ln, Ravenna, OH 44266-4200 Ph: (330) 673-1347

Reviews and Comments

Counselor in Ravenna, OH

Nancy Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552
Kelly Szydlowski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552
Roberta Christofaris, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 Fax: 330-296-6126
Susaye S. Rattigan, INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 Fax: 330-296-6126
Kandi J Portz-novak, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 Fax: 330-296-6126
Tiffany Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 N Chestnut St, Ravenna, OH 44266 Phone: 330-296-5552 Fax: 330-296-6126
Jason Sheller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3920 Lovers Ln, Ravenna, OH 44266 Phone: 330-673-1347

William Russell, PCC - Medicare Counselor in Ravenna, OH