Dr Sam Russo, ND, LAC, RMSK is a
Naturopath based in Winooski, Vermont. Dr Sam Russo is licensed to practice in Vermont (license number 099-0000131) and his current practice location is
321 Main St Ste B, Winooski, Vermont. He can be reached at his office (for appointments etc.) via phone at
(802) 636-4133.
NPI number for Dr Sam Russo is 1891828398 and his current mailing address is 321 Main St Ste B, Winooski, Vermont. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1891828398.
Healthcare Provider's Profile
| Full Name | Dr Sam Russo |
|---|
| Gender | Male |
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| Speciality | Naturopath |
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| Location | 321 Main St Ste B, Winooski, Vermont |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1891828398
- Provider Enumeration Date: 03/13/2007
- Last Update Date: 05/01/2023
Medical Identifiers
Medical identifiers for Dr Sam Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891828398 | NPI | - | NPPES |
| 1015129 | Medicaid | VT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 091-0000176 (Vermont) | Secondary |
| 2083S0010X | Preventive Medicine - Sports Medicine | 099-0000131 (Vermont) | Secondary |
| 208D00000X | General Practice | 099-0000131 (Vermont) | Secondary |
| 175F00000X | Naturopath | 099-0000131 (Vermont) | 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. Dr Sam Russo 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 |
|---|
Dr Sam Russo, ND, LAC, RMSK
321 Main St Ste B,
Winooski, VT 05404-1380
Ph: (802) 636-4133 | Dr Sam Russo, ND, LAC, RMSK
321 Main St Ste B,
Winooski, VT 05404-1380
Ph: (802) 636-4133 |
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