Amanda Didawick Russell, in Spring Lake, NC - Medicare Physical Therapist Provider

Amanda Didawick Russell, is a medicare enrolled "Physical Therapist" provider in Spring Lake, North Carolina. Her current practice location is 103 Sleepy Dr Ste G, Spring Lake, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 423-5622.

Amanda Didawick Russell is licensed to practice in North Carolina (license number P20626) 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 1124795802.

Contact Information

	Amanda Didawick Russell,
	103 Sleepy Dr Ste G, Spring Lake, NC 28390-3319
	(910) 423-5622
	(910) 378-1755

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda Didawick Russell
Gender	Female
Speciality	Physical Therapist
Location	103 Sleepy Dr Ste G, Spring Lake, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124795802
Provider Enumeration Date: 08/30/2021
Last Update Date: 02/01/2023

Medicare PECOS Information:

PECOS PAC ID: 3779005251
Enrollment ID: I20250314000081

Medical Identifiers

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

Identifier	Type	State	Issuer
1124795802	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P20626 (North Carolina)	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. Amanda Didawick Russell allows following entities to bill medicare on her behalf.

Provider Name	Benefit Therapy Services Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275994113 PECOS PAC ID: 7810282795 Enrollment ID: O20160817002493

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. Amanda Didawick 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
Amanda Didawick Russell, 4602 Cumberland Rd, Fayetteville, NC 28306-2412 Ph: (910) 423-5622	Amanda Didawick Russell, 103 Sleepy Dr Ste G, Spring Lake, NC 28390-3319 Ph: (910) 423-5622

Reviews and Comments

Physical Therapist in Spring Lake, NC

Theraspace Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 Cypress Drive, Spring Lake, NC 28390 Phone: 305-794-7185
Kayleigh Taylor, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1018 N Bragg Blvd, Spring Lake, NC 28390 Phone: 910-295-2609
Autism Therapeutic Services Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 102 Superior Dr, Spring Lake, NC 28390 Phone: 910-484-1711

Amanda Didawick Russell, - Medicare Physical Therapist in Spring Lake, NC