Mr Russell John Deshaies, OTR in Lowell, MA - Medicare Occupational Therapist Provider

Mr Russell John Deshaies, OTR is a medicare enrolled "Occupational Therapist" provider in Lowell, Massachusetts. His current practice location is 841 Merrimack St, Lowell, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (978) 459-0546.

Mr Russell John Deshaies is licensed to practice in Massachusetts (license number 11544) 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 1053708271.

Contact Information

	Mr Russell John Deshaies, OTR
	841 Merrimack St, Lowell, MA 01854-3500
	(978) 459-0546
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Russell John Deshaies
Gender	Male
Speciality	Occupational Therapist
Location	841 Merrimack St, Lowell, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053708271
Provider Enumeration Date: 04/26/2015
Last Update Date: 04/26/2015

Medicare PECOS Information:

PECOS PAC ID: 2466815154
Enrollment ID: I20230829000562

Medical Identifiers

Medical identifiers for Mr Russell John Deshaies such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053708271	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	11544 (Massachusetts)	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. Mr Russell John Deshaies allows following entities to bill medicare on his behalf.

Provider Name	Legacy Healthcare Services Massachusetts Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1962108761 PECOS PAC ID: 8628441805 Enrollment ID: O20230309000986

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. Mr Russell John Deshaies 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
Mr Russell John Deshaies, OTR 841 Merrimack St, Lowell, MA 01854-3500 Ph: () -	Mr Russell John Deshaies, OTR 841 Merrimack St, Lowell, MA 01854-3500 Ph: (978) 459-0546

Reviews and Comments

Occupational Therapist in Lowell, MA

Kristin Nuckols, OTR/L Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 110 Canal St, 3rd Floor, Lowell, MA 01852 Phone: 617-671-0789 Fax: 617-250-8243
Talia Yocheved Lusterman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1071 Varnum Ave, Lowell, MA 01854 Phone: 978-446-1862
Amanda Elizabeth Alboth-weinburg, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 Phoenix Ave, Bldg. #2, Lowell, MA 01852 Phone: 978-453-8331
Miss Alexandra Plazas, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 126 Phoenix Ave, Lowell, MA 01852 Phone: 978-453-8331
Mrs. Danielle Leigh Ferrucci, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Princeton Blvd, Lowell, MA 01851 Phone: 210-260-2067
Marnie Peters, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 841 Merrimack St, Lowell, MA 01854 Phone: 978-459-0547

Mr Russell John Deshaies, OTR - Medicare Occupational Therapist in Lowell, MA