Matthew John Russo, MS, CCC-A | |
7 Essex Green Dr, Suite 2, Peabody, MA 01960-2961 | |
(978) 532-6650 | |
Not Available |
Full Name | Matthew John Russo |
---|---|
Gender | Male |
Speciality | Audiologist |
Location | 7 Essex Green Dr, Peabody, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013946417 | NPI | - | NPPES |
5104378 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 777 (Massachusetts) | Primary |
Provider Name | Audiology Distribution Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1164707998 PECOS PAC ID: 0840459103 Enrollment ID: O20120919000622 |
Mailing Address | Practice Location Address |
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Matthew John Russo, MS, CCC-A Po Box 406153, Atlanta, GA 30384-1876 Ph: (978) 532-6650 | Matthew John Russo, MS, CCC-A 7 Essex Green Dr, Suite 2, Peabody, MA 01960-2961 Ph: (978) 532-6650 |
Evelyn S Delegas, CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1 Essex Center Dr, Lahey Northshore, Peabody, MA 01960 Phone: 978-538-4361 Fax: 978-538-4748 | |
Susan A Merenda, CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1 Essex Center Dr, 4th Floor, Peabody, MA 01960 Phone: 978-538-3600 Fax: 978-538-3610 | |
Meghan A Malloy, P.T. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1 Essex Center Dr, Lahey Northshore, Peabody, MA 01960 Phone: 781-744-2533 Fax: 781-744-1540 | |
Erin Macmullen, Audiologist Medicare: Accepting Medicare Assignments Practice Location: 7 Essex Grean Drive, Peabody, MA 01880 Phone: 781-224-1416 | |
North Shore Hearing Center,llc Audiologist Medicare: Not Enrolled in Medicare Practice Location: 6 Essex Center Dr, Suite #304, Peabody, MA 01960 Phone: 978-531-0402 |