Dr John Kenneth Russell, PHD - Medicare Psychologist in Manhattan Beach, CA

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Dr John Kenneth Russell, PHD is a medicare enrolled "Psychologist - Clinical" provider in Manhattan Beach, California. He graduated from medical school in 1974 and has 52 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 1219 Morningside Dr # 134, Manhattan Beach, California. You can reach out to his office (for appointments etc.) via phone at (562) 682-3556.

Dr John Kenneth Russell is licensed to practice in California (license number PSY4430) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407843295.

Contact Information

Dr John Kenneth Russell, PHD
1219 Morningside Dr # 134,
Manhattan Beach, CA 90266-4769
(562) 682-3556
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr John Kenneth Russell
GenderMale
SpecialityClinical Psychologist
Experience52 Years
Location1219 Morningside Dr # 134, Manhattan Beach, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr John Kenneth Russell graduated from medical school in 1974
  NPI Data:
  • NPI Number: 1407843295
  • Provider Enumeration Date: 10/05/2005
  • Last Update Date: 09/23/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 3476776501
  • Enrollment ID: I20140519001083

Medical Identifiers

Medical identifiers for Dr John Kenneth Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407843295NPI-NPPES
95-3278711OtherCAFEDERAL TAX ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY4430 (California)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. Dr John Kenneth Russell allows following entities to bill medicare on his behalf.
Entity NameJohn K Russell PhD a Psychological Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851711881
PECOS PAC ID: 9032335336
Enrollment ID: O20140723000078

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. Dr John Kenneth 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 AddressPractice Location Address
Dr John Kenneth Russell, PHD
1219 Morningside Dr # 134,
Manhattan Beach, CA 90266-4769

Ph: (562) 682-3556		Dr John Kenneth Russell, PHD
1219 Morningside Dr # 134,
Manhattan Beach, CA 90266-4769

Ph: (562) 682-3556

Reviews and Comments


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Mrs. Valerie L Maxwell, PH.D.
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.