Russell Charles Pisano, NP is a medicare enrolled "Nurse Practitioner - Family" provider in Rancho Mirage, California. His current practice location is
72780 Country Club Dr Ste 203, Rancho Mirage, California. You can reach out to his office (for appointments etc.) via phone at
(760) 834-3593.
Russell Charles Pisano is licensed to practice in California (license number NP21901) 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 1952413098.
Healthcare Provider's Profile
| Full Name | Russell Charles Pisano |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 72780 Country Club Dr Ste 203, Rancho Mirage, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952413098
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 08/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 2961593330
- Enrollment ID: I20130114000118
Medical Identifiers
Medical identifiers for Russell Charles Pisano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952413098 | NPI | - | NPPES |
| NP21901 | Other | CA | MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | DC23350 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | NP21901 (California) | 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. Russell Charles Pisano allows following entities to bill medicare on his behalf.
| Provider Name | Family Health Centers Of San Diego, Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1447281936
PECOS PAC ID: 3476446378
Enrollment ID: O20040204000923 |
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| Provider Name | Eisenhower Medical Center |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1013981554
PECOS PAC ID: 5890689657
Enrollment ID: O20100506000102 |
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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. Russell Charles Pisano 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 Address | Practice Location Address |
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Russell Charles Pisano, NP
72780 Country Club Dr Ste 203,
Rancho Mirage, CA 92270-4150
Ph: (760) 834-3593 | Russell Charles Pisano, NP
72780 Country Club Dr Ste 203,
Rancho Mirage, CA 92270-4150
Ph: (760) 834-3593 |
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