Mr Russell John Deshaies, OTR - Medicare Occupational Therapist in Lowell, MA

Mr Russell John Deshaies, OTR is a medicare enrolled "Occupational Therapist" provider in Lowell, Massachusetts. His current practice location is 841 Merrimack St, Lowell, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (978) 459-0546.

Mr Russell John Deshaies is licensed to practice in Massachusetts (license number 11544) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053708271.

Contact Information

Mr Russell John Deshaies, OTR
841 Merrimack St,
Lowell, MA 01854-3500
(978) 459-0546
Not Available



Healthcare Provider's Profile

Full NameMr Russell John Deshaies
GenderMale
SpecialityOccupational Therapist
Location841 Merrimack St, Lowell, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053708271
  • Provider Enumeration Date: 04/26/2015
  • Last Update Date: 04/26/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 2466815154
  • Enrollment ID: I20230829000562

Medical Identifiers

Medical identifiers for Mr Russell John Deshaies such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053708271NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 11544 (Massachusetts)Primary

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. Mr Russell John Deshaies allows following entities to bill medicare on his behalf.
Provider NameLegacy Healthcare Services Massachusetts Llc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1962108761
PECOS PAC ID: 8628441805
Enrollment ID: O20230309000986

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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. Mr Russell John Deshaies 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
Mr Russell John Deshaies, OTR
841 Merrimack St,
Lowell, MA 01854-3500

Ph: () -
Mr Russell John Deshaies, OTR
841 Merrimack St,
Lowell, MA 01854-3500

Ph: (978) 459-0546

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Occupational Therapist in Lowell, MA

Kristin Nuckols, OTR/L
Occupational Therapist
Medicare: May Accept Medicare Assignments
Practice Location: 110 Canal St, 3rd Floor, Lowell, MA 01852
Phone: 617-671-0789    Fax: 617-250-8243
Talia Yocheved Lusterman, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1071 Varnum Ave, Lowell, MA 01854
Phone: 978-446-1862    
Amanda Elizabeth Alboth-weinburg, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 126 Phoenix Ave, Bldg. #2, Lowell, MA 01852
Phone: 978-453-8331    
Miss Alexandra Plazas, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 126 Phoenix Ave, Lowell, MA 01852
Phone: 978-453-8331    
Mrs. Danielle Leigh Ferrucci, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 30 Princeton Blvd, Lowell, MA 01851
Phone: 210-260-2067    
Marnie Peters, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 841 Merrimack St, Lowell, MA 01854
Phone: 978-459-0547    

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