Russell J Bodurtha, PHYSICAL THERAPIST is a medicare enrolled "Physical Therapist" provider in Burlington, Connecticut. His current practice location is
292 Spielman Hwy, Burlington, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 404-2924.
Russell J Bodurtha is licensed to practice in Connecticut (license number 11630) 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 1033629092.
Healthcare Provider's Profile
| Full Name | Russell J Bodurtha |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 292 Spielman Hwy, Burlington, Connecticut |
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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: 1033629092
- Provider Enumeration Date: 10/04/2017
- Last Update Date: 10/04/2017
Medicare PECOS Information:
- PECOS PAC ID: 2769758408
- Enrollment ID: I20171024001892
Medical Identifiers
Medical identifiers for Russell J Bodurtha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1033629092 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 11630 (Connecticut) | 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. Russell J Bodurtha allows following entities to bill medicare on his behalf.
| Provider Name | Advanced Physical Therapy, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1861677262 PECOS PAC ID: 7315020005 Enrollment ID: O20080219000453 |
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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. Russell J Bodurtha 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 |
Russell J Bodurtha, PHYSICAL THERAPIST 465 Wolcott Rd, Wolcott, CT 06716-2613 Ph: () - | Russell J Bodurtha, PHYSICAL THERAPIST 292 Spielman Hwy, Burlington, CT 06013-1727 Ph: (860) 404-2924 |
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