Phyllis Russell, MS RD CDN - Dietitian in Rosedale, NY

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Phyllis Russell, MS RD CDN is a Dietitian, Registered based in Rosedale, New York. Phyllis Russell is licensed to practice in New York (license number 003127-01) and her current practice location is 13519 242nd St, Rosedale, New York. She can be reached at her office (for appointments etc.) via phone at (917) 601-4575.

NPI number for Phyllis Russell is 1023772100 and her current mailing address is 13519 242nd St, Rosedale, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023772100.

Contact Information

Phyllis Russell, MS RD CDN
13519 242nd St,
Rosedale, NY 11422-1521
(917) 601-4575
Not Available

Map and Direction




Healthcare Provider's Profile

Full NamePhyllis Russell
GenderFemale
SpecialityDietitian, Registered
Location13519 242nd St, Rosedale, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023772100
  • Provider Enumeration Date: 10/26/2021
  • Last Update Date: 10/26/2021

Medical Identifiers

Medical identifiers for Phyllis Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023772100NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133VN1101XDietitian, Registered - Nutrition, Gerontological (* (Not Available))Secondary
133VN1201XDietitian, Registered - Nutrition, Obesity And Weight Management (* (Not Available))Secondary
133V00000XDietitian, Registered 003127-01 (New York)Primary

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. Phyllis Russell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Phyllis Russell, MS RD CDN
13519 242nd St,
Rosedale, NY 11422-1521

Ph: (917) 601-4575		Phyllis Russell, MS RD CDN
13519 242nd St,
Rosedale, NY 11422-1521

Ph: (917) 601-4575

Reviews and Comments


Dietitian, Registered in Rosedale, NY

Karen E Nimmons, RDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 14940 258th St, Rosedale, NY 11422
Phone: 718-949-8931    
Ms. Elise Genee Harrison, RDN
Dietitian
Medicare: Medicare Enrolled
Practice Location: 1 Cross Island Plz Ste 229c, Rosedale, NY 11422
Phone: 855-958-9958    
Mrs. Elizabeth Marie Madison, MA, RDN, CDN
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 133-33 Brookville Boulevard, Suite 229c, Rosedale, NY 11422
Phone: 855-958-9958    Fax: 855-947-3783

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.