Dr Angela Michelle Illuzzi-russo, DDS - Medicare Dentist in Portland, ME

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Dr Angela Michelle Illuzzi-russo, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Portland, Maine. Her current practice location is 190 Park Ave, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 874-1028.

Dr Angela Michelle Illuzzi-russo is licensed to practice in Maine (license number DEN4836) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811041726.

Contact Information

Dr Angela Michelle Illuzzi-russo, DDS
190 Park Ave,
Portland, ME 04102-1000
(207) 874-1028
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Angela Michelle Illuzzi-russo
GenderFemale
SpecialityDentist - Oral And Maxillofacial Surgery
Location190 Park Ave, Portland, Maine
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811041726
  • Provider Enumeration Date: 01/22/2007
  • Last Update Date: 02/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2163741513
  • Enrollment ID: I20210222000723

Medical Identifiers

Medical identifiers for Dr Angela Michelle Illuzzi-russo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811041726NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 052809 (New York)Secondary
1223S0112XDentist - Oral And Maxillofacial Surgery 22DI02347100 (New Jersey)Secondary
1223S0112XDentist - Oral And Maxillofacial Surgery DEN4836 (Maine)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. Dr Angela Michelle Illuzzi-russo allows following entities to bill medicare on her behalf.
Entity NameMainehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166

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 Angela Michelle Illuzzi-russo 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 AddressPractice Location Address
Dr Angela Michelle Illuzzi-russo, DDS
10 Lone Pine Ln,
Yarmouth, ME 04096-6119

Ph: (917) 502-0030		Dr Angela Michelle Illuzzi-russo, DDS
190 Park Ave,
Portland, ME 04102-1000

Ph: (207) 874-1028

Reviews and Comments


Dentist in Portland, ME

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Franchesca Vargas, DMD
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Dr. Ralph H Yarn, DDS
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Dr. Stephen Charles Palmer, DDS
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Dr. Gregory V Sarka, DDS,MD
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Practice Location: 1250 Forest Ave Unit 5, Portland, ME 04103
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.