Russell Physical Therapy is a medicare enrolled "Physical Therapist" provider in Oak Grove, Louisiana. Their current practice location is
208 E Main St, Oak Grove, Louisiana. You can reach out to their office (for appointments etc.) via phone at
(318) 282-5468.
Russell Physical Therapy is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Russell Physical Therapy
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1912723776.
Healthcare Provider's Profile
| Full Name | Russell Physical Therapy |
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| Type | Facility |
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| Speciality | Physical Therapist |
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| Location | 208 E Main St, Oak Grove, Louisiana |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912723776
- Provider Enumeration Date: 11/26/2024
- Last Update Date: 11/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 4183147275
- Enrollment ID: O20250331000015
Medical Identifiers
Medical identifiers for Russell Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912723776 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Russell Physical Therapy acts as a billing entity for following providers:
| Provider Name | Dalton Lee Russell |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1891558789 PECOS PAC ID: 5496195406 Enrollment ID: I20240424002167 |
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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 Physical Therapy 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 Physical Therapy 324 Pulltight Rd, Oak Grove, LA 71263-9187 Ph: (318) 282-5468 | Russell Physical Therapy 208 E Main St, Oak Grove, LA 71263-2557 Ph: (318) 282-5468 |
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