Carly Elizabeth Russo, DPT in Dallas, TX - Medicare Physical Therapist Provider

Carly Elizabeth Russo, DPT is a medicare enrolled "Physical Therapist" provider in Dallas, Texas. Her current practice location is 2425 Victory Ave Apt 264, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (610) 737-8046.

Carly Elizabeth Russo is licensed to practice in Texas (license number 1315328) 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 1316402894.

Contact Information

	Carly Elizabeth Russo, DPT
	2425 Victory Ave Apt 264, Dallas, TX 75219-7720
	(610) 737-8046
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Carly Elizabeth Russo
Gender	Female
Speciality	Physical Therapist
Location	2425 Victory Ave Apt 264, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316402894
Provider Enumeration Date: 02/08/2019
Last Update Date: 02/08/2019

Medicare PECOS Information:

PECOS PAC ID: 4385033141
Enrollment ID: I20211116002545

Medical Identifiers

Medical identifiers for Carly Elizabeth Russo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316402894	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1315328 (Texas)	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. Carly Elizabeth Russo allows following entities to bill medicare on her behalf.

Provider Name	One Rehab
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952954240 PECOS PAC ID: 7618208752 Enrollment ID: O20191029000793

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. Carly Elizabeth Russo 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
Carly Elizabeth Russo, DPT 2425 Victory Ave Apt 264, Dallas, TX 75219-7720 Ph: (610) 737-8046	Carly Elizabeth Russo, DPT 2425 Victory Ave Apt 264, Dallas, TX 75219-7720 Ph: (610) 737-8046

Reviews and Comments

Physical Therapist in Dallas, TX

Sarah Henry, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8502 Edgemere Rd, Dallas, TX 75225 Phone: 214-369-7995 Fax: 214-369-7995
Joan Mildred Riddle, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11880 Greenville Ave, Ste 100, Dallas, TX 75243 Phone: 214-349-6178 Fax: 214-575-9898
Dr. Bryan Sheffield, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6301 Gaston Ave Ste 750, Dallas, TX 75214 Phone: 214-295-5374 Fax: 214-245-5217
Nkemakolem Nwosu, Physical Therapist Medicare: Medicare Enrolled Practice Location: 9291 Garland Rd Ste 110, Dallas, TX 75218 Phone: 972-892-4541 Fax: 469-697-1094
Diamilet C Collazo, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4500 S Lancaster Rd, Dallas, TX 75216 Phone: 214-857-0193
Terri Lynn Moore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 411 N Washington Ave Ste 4000, Dallas, TX 75246 Phone: 214-820-9393 Fax: 214-820-8877
Mrs. Janice Abbott, PT, MS, CHT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8144 Walnut Hill Ln, Ste 100, Dallas, TX 75231 Phone: 214-346-0677

Carly Elizabeth Russo, DPT - Medicare Physical Therapist in Dallas, TX