Brooke Russell, DPT is a medicare enrolled "Physical Therapist" provider in Prophetstown, Illinois. Her current practice location is
321 Washington St, Prophetstown, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 537-8899.
Brooke Russell is licensed to practice in Iowa (license number 076375) 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 1952791402.
Healthcare Provider's Profile
Full Name | Brooke Russell |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 321 Washington St, Prophetstown, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1952791402
- Provider Enumeration Date: 02/04/2015
- Last Update Date: 10/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759607716
- Enrollment ID: I20231020000878
Medical Identifiers
Medical identifiers for Brooke Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952791402 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 076375 (Iowa) | 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. Brooke Russell allows following entities to bill medicare on her behalf.
Provider Name | Rock Valley Physical Therapy Center |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1245373166 PECOS PAC ID: 9638087877 Enrollment ID: O20040630000390 |
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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. Brooke 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 |
Brooke Russell, DPT 850 43rd Ave Ste 100, Moline, IL 61265-8401 Ph: (309) 743-2070 | Brooke Russell, DPT 321 Washington St, Prophetstown, IL 61277-1105 Ph: (815) 537-8899 |
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