Rebecca Lynn Russell, MS CCC-SLP is a
Speech-language Pathologist based in N Wilkesboro, North Carolina. Rebecca Lynn 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 Lynn Russell is 1417151762 and her current mailing address is 1401 N 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 Lynn Russell |
|---|
| Gender | Female |
|---|
| Speciality | Speech-language Pathologist |
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| Location | 924 Main St Ste 350, N Wilkesboro, North Carolina |
|---|
| 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: 03/13/2026
Medical Identifiers
Medical identifiers for Rebecca Lynn 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 Lynn 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 Lynn Russell, MS CCC-SLP 1401 N Plum Ridge Rd, Roaring River, NC 28669-8377 Ph: (336) 984-4787 | Rebecca Lynn Russell, MS CCC-SLP 924 Main St Ste 350, N Wilkesboro, NC 28659-4266 Ph: (336) 467-2574 |
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