Dr Benjamin Russell, AUD - Medicare Audiologist in Tampa, FL

Dr Benjamin Russell, AUD is a medicare enrolled "Audiologist" provider in Tampa, Florida. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Qualified Audiologist. He is a member of the group practice Appalachian State University and his current practice location is 4202 E Fowler Ave, Pcd1017, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 974-8804.

Dr Benjamin Russell is licensed to practice in Florida (license number AY1685) 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 1063854529.

Contact Information

Dr Benjamin Russell, AUD
4202 E Fowler Ave, Pcd1017,
Tampa, FL 33620-8200
(813) 974-8804
Not Available



Healthcare Provider's Profile

Full NameDr Benjamin Russell
GenderMale
SpecialityQualified Audiologist
Experience14 Years
Location4202 E Fowler Ave, Tampa, Florida
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 Benjamin Russell graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1063854529
  • Provider Enumeration Date: 07/25/2013
  • Last Update Date: 07/25/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6305063975
  • Enrollment ID: I20170321001824

Medical Identifiers

Medical identifiers for Dr Benjamin Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063854529NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
231H00000XAudiologist AY1685 (Florida)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Appalachian State University83250688775

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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 Benjamin Russell allows following entities to bill medicare on his behalf.
Provider NameAppalachian State University
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1851387286
PECOS PAC ID: 8325068877
Enrollment ID: O20051130000010

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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. Dr Benjamin 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 Benjamin Russell, AUD
4202 E Fowler Ave, Pcd1017,
Tampa, FL 33620-8200

Ph: () -
Dr Benjamin Russell, AUD
4202 E Fowler Ave, Pcd1017,
Tampa, FL 33620-8200

Ph: (813) 974-8804

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Audiologist in Tampa, FL

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Lisa Faith Gavin,
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Practice Location: 5 Tampa General Cir Ste 610, Tampa, FL 33606
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Constance Alexis Green, AU.D.
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