Dr Kelly L Russo, PHD - Psychologist in Orangeburg, SC

Dr Kelly L Russo, PHD is a Psychologist - Clinical based in Orangeburg, South Carolina. Dr Kelly L Russo is licensed to practice in Florida (license number PY-8336) and her current practice location is 1767 Village Park Dr, Orangeburg, South Carolina. She can be reached at her office (for appointments etc.) via phone at (803) 776-4000.

NPI number for Dr Kelly L Russo is 1265664734 and her current mailing address is 715 Darlington St, Columbia, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265664734.

Contact Information

Dr Kelly L Russo, PHD
1767 Village Park Dr,
Orangeburg, SC 29118-2475
(803) 776-4000
(803) 536-1719

Map and Direction




Healthcare Provider's Profile

Full NameDr Kelly L Russo
GenderFemale
SpecialityPsychologist - Clinical
Location1767 Village Park Dr, Orangeburg, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265664734
  • Provider Enumeration Date: 08/18/2009
  • Last Update Date: 05/01/2014

Medical Identifiers

Medical identifiers for Dr Kelly L Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265664734NPI-NPPES
54516MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY-8336 (Florida)Primary

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 Kelly L Russo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kelly L Russo, PHD
715 Darlington St,
Columbia, SC 29201-1201

Ph: (239) 314-8511
Dr Kelly L Russo, PHD
1767 Village Park Dr,
Orangeburg, SC 29118-2475

Ph: (803) 776-4000

Reviews and Comments


Psychologist in Orangeburg, SC

Dr. Valerie Louise Holmstrom, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 1205 Hutto St, Orangeburg, SC 29118
Phone: 803-536-3100    Fax: 803-536-3100
Dr. Reuben Benjamin Ridgeway, PHD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 1175 Cook Rd Ste 305, Orangeburg, SC 29118
Phone: 803-395-3715    Fax: 803-395-3719
Ms. Arnitha Butler,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 392 Orangepark Dr, Orangeburg, SC 29115
Phone: 803-534-8866    Fax: 803-534-8866

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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.

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