Kassie Russom, PA-C - Medicare Physician Assistant in Charleston, SC

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Kassie Russom, PA-C is a medicare enrolled "Physician Assistant" in Charleston, South Carolina. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Hospital Medicine Services Of Tn Llc, Iris Medical Group and her current practice location is 316 Calhoun St, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 724-2450.

Kassie Russom is licensed to practice in South Carolina (license number 3982) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194315572.

Contact Information

Kassie Russom, PA-C
316 Calhoun St,
Charleston, SC 29401-1113
(843) 724-2450
Not Available

Map and Direction




Provider's Profile

Full NameKassie Russom
GenderFemale
SpecialityPhysician Assistant
Experience6 Years
Location316 Calhoun St, Charleston, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kassie Russom graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1194315572
  • Provider Enumeration Date: 01/20/2021
  • Last Update Date: 07/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8022403062
  • Enrollment ID: I20240906000361

Medical Identifiers

Medical identifiers for Kassie Russom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194315572NPI-NPPES
5029PAMedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 3982 (South Carolina)Primary
363A00000XPhysician Assistant (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beacon Home Health BrentwoodBrentwood, TNHome health agency
Tristar Hendersonville Medical CenterHendersonville, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hospital Medicine Services Of Tn Llc2365807633266
Iris Medical Group064865336082

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. Kassie Russom allows following entities to bill medicare on her behalf.
Entity NameIris Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851025902
PECOS PAC ID: 0648653360
Enrollment ID: O20220812002453
Entity NameHospital Medicine Services of TN LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982301065
PECOS PAC ID: 2365807633
Enrollment ID: O20230421000177
Entity NameTelemate Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407624364
PECOS PAC ID: 3678911369
Enrollment ID: O20240401000678

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. Kassie Russom 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
Kassie Russom, PA-C
Po Box 751649,
Charlotte, NC 28275-1649

Ph: (843) 789-1620		Kassie Russom, PA-C
316 Calhoun St,
Charleston, SC 29401-1113

Ph: (843) 724-2450

Reviews and Comments


Physician Assistant Nurses in Charleston, SC

Christian Anton Sung, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 316 Calhoun St, Charleston, SC 29401
Phone: 843-720-8490    
Amy Lynn Canino, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 316 Calhoun St, Charleston, SC 29401
Phone: 843-402-1638    Fax: 843-724-2455
Elizabeth Poindexter,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 171 Ashley Ave, Charleston, SC 29425
Phone: 843-792-1414    
Maria Dahl, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2225 Ashley River Rd Apt 378, Charleston, SC 29414
Phone: 704-661-4464    
Matthew K Ewald, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 171 Ashley Ave, Charleston, SC 29425
Phone: 843-792-1414    
Meredith Barb Bauerband, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2180 Henry Tecklenburg Dr, Charleston, SC 29414
Phone: 865-647-5800    Fax: 865-647-5979
Jessica Marie Richgels, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1327 Ashley River Rd Ste B, Charleston, SC 29407
Phone: 843-577-4551    

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.