Kathleen Russell, OD is a medicare enrolled "Optometrist - Corneal And Contact Management" provider in Holland, Pennsylvania. She went to Pennsylvania College Of Optometry and graduated in 1995 and has 30 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Myeyedr Optometry Of Pennsylvania Llc and her current practice location is
295 Buck Rd, Suite 114, Holland, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(215) 953-1200.
Kathleen Russell is licensed to practice in Pennsylvania (license number OEG001346) 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 1588683064.
Healthcare Provider's Profile
| Full Name | Kathleen Russell |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 30 Years |
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| Location | 295 Buck Rd, Holland, Pennsylvania |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kathleen Russell attended and graduated from Pennsylvania College Of Optometry in 1995
NPI Data:
- NPI Number: 1588683064
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 10/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800852591
- Enrollment ID: I20150731015334
Medical Identifiers
Medical identifiers for Kathleen Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1588683064 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 152WC0802X | Optometrist - Corneal And Contact Management | OEG001346 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Myeyedr Optometry Of Pennsylvania Llc | 3971884883 | 95 |
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. Kathleen Russell allows following entities to bill medicare on her behalf.
| Provider Name | Myeyedr Optometry Of Pennsylvania Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003264607 PECOS PAC ID: 3971884883 Enrollment ID: O20170109002363 |
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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. Kathleen 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 |
Kathleen Russell, OD 295 Buck Rd, Suite 114, Holland, PA 18966-1733 Ph: (215) 953-1200 | Kathleen Russell, OD 295 Buck Rd, Suite 114, Holland, PA 18966-1733 Ph: (215) 953-1200 |
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