Dr Russell C Packard, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Palestine, Texas. His current practice location is
4659 Fm 1990, Palestine, Texas. You can reach out to his office (for appointments etc.) via phone at
(903) 213-2216.
Dr Russell C Packard is licensed to practice in Texas (license number L5082) 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 1881686392.
Physician's Profile
| Full Name | Dr Russell C Packard |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 4659 Fm 1990, Palestine, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881686392
- Provider Enumeration Date: 08/19/2005
- Last Update Date: 06/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 0143270876
- Enrollment ID: I20050201000114
Medical Identifiers
Medical identifiers for Dr Russell C Packard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1881686392 | NPI | - | NPPES |
| 1881686392 | Other | FL | NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084N0400X | Psychiatry & Neurology - Neurology | ME30779 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME30779 (Florida) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | L5082 (Texas) | 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 Russell C Packard allows following entities to bill medicare on his behalf.
| Entity Name | Texas Specialty Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558521179 PECOS PAC ID: 6305901927 Enrollment ID: O20090216000230 |
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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 Russell C Packard 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 |
Dr Russell C Packard, MD 4000 S Loop 256 Ste A-e, Palestine, TX 75801-8467 Ph: (903) 731-5372 | Dr Russell C Packard, MD 4659 Fm 1990, Palestine, TX 75801-1162 Ph: (903) 213-2216 |
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