Catina M Russell-Helton, PAC
Individual provider Active NPI Physician Assistant · Manchester, MD
NPI 1508807637 · NPPES record last updated Mar 23, 2022
Key facts
- NPI
- 1508807637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- C03008 (MD)
- Practice address
- 2973 Manchester Rd
Manchester, MD 21102-1802 - Phone
- (410) 960-9017
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MNR Industries, LLC
Practice addresses (Care Compare)
1011 Baltimore Blvd
Westminster, MD 21157-7055
Phone (410) 848-3990
1505 E Churchville Rd
Bel Air, MD 21014-4742
2327 Hanover Pike
Hampstead, MD 21074-1150
Phone (410) 848-3990
504 E Ridgeville Blvd
A
Mount Airy, MD 21771-5942
Phone (301) 703-5452
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MD, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060308000462 | MD | Practitioner - Physician Assistant | 1850308362 | Reassigns benefits to 3 organizations |
| I20171226001911 | DC | Practitioner - Physician Assistant | 1850308362 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C03008 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MNR Industries, LLC | Current |
Accepting new patients | |
| MNR Industries LLC | Current | Accepting new patients | |
| Matclinic Physicians Practice Group LLC | Current |
Accepting new patients | |
| Matclinic Physicians Practice Group LLC | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Charles Emergency Physicians PA | Past | Accepting new patients | |
| MNR Industries, LLC. | Past | Accepting new patients |
Locations
1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970
40 S Dundalk Ave
Ste 400
Dundalk, MD 21222
Phone (410) 220-0270
601 7th St
Ste 304
Laurel, MD 20707
Phone (410) 220-0280
504 E Ridgeville Blvd
#A
Mount Airy, MD 21771
Phone (301) 703-5452
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C03008 | MD | Yes |
Addresses
Primary practice location
2973 Manchester Rd
Manchester, MD 21102-1802
Mailing address
2973 Manchester Rd
Manchester, MD 21102-1802
Phone (410) 960-9017
Other practice location 1
40 S Dundalk Ave Ste 400
Dundalk, MD 21222-4273
Phone (410) 220-0270
Other providers in Manchester, MD
- Physiotherapy Associates, Inc.
- Premier Dental Care
- Eileen C Quinn
- Emily Radawiec
- Renewed Perspectives
- Abigail Trader Schumacher
- Heather Schwendeman-Kincaid
- Shadow Work Therapeutics, LLC
- Taylor Shoffner
- Sightrite Medical MD LLC
All providers in Manchester, MD · Physician Assistant in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.