Graycen Russell, OT in Russellville, AR - Medicare Occupational Therapist Provider

Graycen Russell, OT is a medicare enrolled "Occupational Therapist" provider in Russellville, Arkansas. Her current practice location is 2100 W Main St, Russellville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 968-2525.

Graycen Russell is licensed to practice in Arkansas (license number OT2022-018) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316660921.

Contact Information

	Graycen Russell, OT
	2100 W Main St, Russellville, AR 72801-2758
	(479) 968-2525
	(479) 968-2538

Map and Direction

Healthcare Provider's Profile

Full Name	Graycen Russell
Gender	Female
Speciality	Occupational Therapist
Location	2100 W Main St, Russellville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316660921
Provider Enumeration Date: 09/20/2022
Last Update Date: 09/20/2022

Medicare PECOS Information:

PECOS PAC ID: 5597141283
Enrollment ID: I20221004001406

Medical Identifiers

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

Identifier	Type	State	Issuer
1316660921	NPI	-	NPPES
OT2022-018	Other	AR	STATE MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT2022-018 (Arkansas)	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. Graycen Russell allows following entities to bill medicare on her behalf.

Provider Name	River Valley Therapy & Sports Medicine Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1619925732 PECOS PAC ID: 1850294018 Enrollment ID: O20040127001051

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. Graycen 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
Graycen Russell, OT 2100 W Main St, Russellville, AR 72801-2758 Ph: (479) 968-2525	Graycen Russell, OT 2100 W Main St, Russellville, AR 72801-2758 Ph: (479) 968-2525

Reviews and Comments

Occupational Therapist in Russellville, AR

Kamala J Mcdonald, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2100 W Main St, Russellville, AR 72801 Phone: 479-968-2525 Fax: 479-968-2538
Melissa Hawkins, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Russell Road, Russellville, AR 72801 Phone: 479-967-2322 Fax: 479-967-2876
Chastity Massengale, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Russell Road, Russellville, AR 72801 Phone: 479-967-2322
Mrs. Alicia M Bost, M.S.O.T.R.L. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2315 Honeysuckle Ln, Russellville, AR 72801 Phone: 479-858-6144 Fax: 479-858-6144
Mrs. Sandra Lynn Baker, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Russell Rd, Russellville, AR 72802 Phone: 479-967-2316 Fax: 479-967-3639
Randi Ellen Rogers, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1301 Russell Road, Russellville, AR 72801 Phone: 479-967-2322
Mrs. Brandi Akin, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 E Main St Ste 16, Russellville, AR 72801 Phone: 479-858-2216

Graycen Russell, OT - Medicare Occupational Therapist in Russellville, AR