Dr Charles E Russell, MD - Medicare Preventive Medicine in Beavercreek, OH

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Dr Charles E Russell, MD is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Beavercreek, Ohio. His current practice location is 579 Rustic Trl, Beavercreek, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 718-7677.

Dr Charles E Russell is licensed to practice in Ohio (license number 35050063) 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 1245220912.

Contact Information

Dr Charles E Russell, MD
579 Rustic Trl,
Beavercreek, OH 45434-7337
(937) 718-7677
(937) 429-7441

Map and Direction




Physician's Profile

Full NameDr Charles E Russell
GenderMale
SpecialityPreventive Medicine - Addiction Medicine
Location579 Rustic Trl, Beavercreek, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245220912
  • Provider Enumeration Date: 10/25/2005
  • Last Update Date: 04/15/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3577450394
  • Enrollment ID: I20180315000606

Medical Identifiers

Medical identifiers for Dr Charles E Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245220912NPI-NPPES
000000546225OtherOHANTHEM
0573348MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083A0300XPreventive Medicine - Addiction Medicine 35050063 (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. Dr Charles E Russell allows following entities to bill medicare on his behalf.
Entity NameAccess Behavioral Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437463213
PECOS PAC ID: 1052595402
Enrollment ID: O20110408000052
Entity NameAccess Ohio Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689763740
PECOS PAC ID: 4385899053
Enrollment ID: O20130612000051
Entity NameFrs Counseling
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891055133
PECOS PAC ID: 5496016925
Enrollment ID: O20180226001831

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. Dr Charles E 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 AddressPractice Location Address
Dr Charles E Russell, MD
Po Box 31694,
Dayton, OH 45437-0694

Ph: (937) 718-7677		Dr Charles E Russell, MD
579 Rustic Trl,
Beavercreek, OH 45434-7337

Ph: (937) 718-7677

Reviews and Comments


Preventive Medicine Doctors in Beavercreek, OH


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.