Andres Russo Sr, is a
Community/behavioral Health based in Lawrence, Massachusetts. Andres Russo Sr is licensed to practice in Massachusetts (license number ) and his current practice location is
12 School St, Lawrence, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(978) 382-0522.
NPI number for Andres Russo Sr is 1710353370 and his current mailing address is 12 School St, Lawrence, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710353370.
Healthcare Provider's Profile
Full Name | Andres Russo Sr |
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Gender | Male |
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Speciality | Community/behavioral Health |
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Location | 12 School St, Lawrence, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710353370
- Provider Enumeration Date: 08/18/2015
- Last Update Date: 08/18/2015
Medical Identifiers
Medical identifiers for Andres Russo Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710353370 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (Massachusetts) | 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. Andres Russo Sr 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 |
Andres Russo Sr, 12 School St, Lawrence, MA 01841-5042 Ph: (978) 382-0522 | Andres Russo Sr, 12 School St, Lawrence, MA 01841-5042 Ph: (978) 382-0522 |
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