Reannon Russell, DPT is a medicare enrolled "Physical Therapist" provider in Melbourne, Arkansas. She graduated from medical school in 2012 and has 14 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Gross Therapy Services Inc and her current practice location is
295 Jumbo Rd, Melbourne, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(870) 373-0532.
Reannon Russell is licensed to practice in Arkansas (license number 3513) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053669721.
Healthcare Provider's Profile
| Full Name | Reannon Russell |
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| Gender | Female |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 14 Years |
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| Location | 295 Jumbo Rd, Melbourne, Arkansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Reannon Russell graduated from medical school in 2012
NPI Data:
- NPI Number: 1053669721
- Provider Enumeration Date: 08/28/2012
- Last Update Date: 08/28/2012
Medicare PECOS Information:
- PECOS PAC ID: 9335436773
- Enrollment ID: I20160928001299
Medical Identifiers
Medical identifiers for Reannon Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053669721 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 3513 (Arkansas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Gross Therapy Services Inc | 5991072050 | 37 |
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. Reannon Russell allows following entities to bill medicare on her behalf.
| Provider Name | Mcbryde Therapy Ops Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1841324209 PECOS PAC ID: 5395067235 Enrollment ID: O20141204001424 |
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| Provider Name | Gross Therapy Services Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1033236468 PECOS PAC ID: 5991072050 Enrollment ID: O20170522002316 |
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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. Reannon 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 Address | Practice Location Address |
Reannon Russell, DPT 295 Jumbo Rd, Melbourne, AR 72556-9175 Ph: (870) 373-0532 | Reannon Russell, DPT 295 Jumbo Rd, Melbourne, AR 72556-9175 Ph: (870) 373-0532 |
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