Carol K Russo, LMFT - Medicare Couples Therapy in Myrtle Beach, SC

Carol K Russo, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Myrtle Beach, South Carolina. Her current practice location is 1107 48th Ave N, Suite 111-e, Myrtle Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 254-9447.

Carol K Russo is licensed to practice in South Carolina (license number 4054) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1346439742.

Contact Information

Carol K Russo, LMFT
1107 48th Ave N, Suite 111-e,
Myrtle Beach, SC 29577-5443
(843) 254-9447
(843) 449-8753

Healthcare Provider's Profile

Full NameCarol K Russo
GenderFemale
SpecialityMarriage & Family Therapist
Location1107 48th Ave N, Myrtle Beach, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1346439742
  • Provider Enumeration Date: 10/22/2007
  • Last Update Date: 02/01/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 4688026974
  • Enrollment ID: I20240123001767

Medical Identifiers

Medical identifiers for Carol K Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346439742NPI-NPPES
6105147MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
106H00000XMarriage & Family Therapist 4054 (South Carolina)Primary
106H00000XMarriage & Family Therapist 1120 (North Carolina)Secondary

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. Carol K Russo 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
Carol K Russo, LMFT
1107 48th Ave. No., Parkway Office Plaza Suite 111-e,
Myrtle Beach, SC 29577-5926

Ph: (843) 254-9447
Carol K Russo, LMFT
1107 48th Ave N, Suite 111-e,
Myrtle Beach, SC 29577-5443

Ph: (843) 254-9447

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Marriage & Family Therapist in Myrtle Beach, SC

Mrs. Katherine Hood West, ED.S, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 901 N Kings Hwy, Myrtle Beach, SC 29577
Phone: 843-448-4828    
Mrs. Joanna Sue Sortelli, LMFT
Couples Therapy
Medicare: Not Enrolled in Medicare
Practice Location: 564 Affinity Dr, Myrtle Beach, SC 29588
Phone: 619-436-9647    

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