Rebecca Russell, MS CCC-SLP is a
Speech-language Pathologist based in N Wilkesboro, North Carolina. Rebecca Russell is licensed to practice in North Carolina (license number 5805) and her current practice location is
924 Main St Ste 350, N Wilkesboro, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(336) 467-2574.
NPI number for Rebecca Russell is 1417151762 and her current mailing address is 1401 Plum Ridge Rd, Roaring River, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417151762.
Healthcare Provider's Profile
Full Name | Rebecca Russell |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 924 Main St Ste 350, N Wilkesboro, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417151762
- Provider Enumeration Date: 06/12/2007
- Last Update Date: 04/15/2025
Medical Identifiers
Medical identifiers for Rebecca Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417151762 | NPI | - | NPPES |
7211624 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 5805 (North Carolina) | 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. Rebecca Russell 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 Address | Practice Location Address |
Rebecca Russell, MS CCC-SLP 1401 Plum Ridge Rd, Roaring River, NC 28669-8377 Ph: (336) 984-4787 | Rebecca Russell, MS CCC-SLP 924 Main St Ste 350, N Wilkesboro, NC 28659-4266 Ph: (336) 467-2574 |
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