Dominique Ashley Russo, RDN, LD in Henderson, NV - Medicare Dietitian, Registered Provider

Dominique Ashley Russo, RDN, LD is a medicare enrolled "Dietitian, Registered" provider in Henderson, Nevada. Her current practice location is 2850 W Horizon Ridge Pkwy Ste 200, Henderson, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 485-7235.

Dominique Ashley Russo is licensed to practice in Nevada (license number 39929-DI-0) 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 1295455681.

Contact Information

	Dominique Ashley Russo, RDN, LD
	2850 W Horizon Ridge Pkwy Ste 200, Henderson, NV 89052-4395
	(702) 485-7235
	(833) 407-9212

Map and Direction

Healthcare Provider's Profile

Full Name	Dominique Ashley Russo
Gender	Female
Speciality	Dietitian, Registered
Location	2850 W Horizon Ridge Pkwy Ste 200, Henderson, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295455681
Provider Enumeration Date: 08/29/2022
Last Update Date: 08/29/2022

Medicare PECOS Information:

PECOS PAC ID: 8527419035
Enrollment ID: I20240109004155

Medical Identifiers

Medical identifiers for Dominique Ashley Russo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295455681	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	39929-DI-0 (Nevada)	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. Dominique Ashley Russo allows following entities to bill medicare on her behalf.

Provider Name	Desert Dietitians Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1942787122 PECOS PAC ID: 6507114642 Enrollment ID: O20180806001130

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. Dominique Ashley 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 Address	Practice Location Address
Dominique Ashley Russo, RDN, LD 2412 Juniper Canyon Ct, Las Vegas, NV 89134-1836 Ph: (702) 279-2523	Dominique Ashley Russo, RDN, LD 2850 W Horizon Ridge Pkwy Ste 200, Henderson, NV 89052-4395 Ph: (702) 485-7235

Reviews and Comments

Dietitian, Registered in Henderson, NV

Jamie Kelvington, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2814 Kinknockie Way, Henderson, NV 89044 Phone: 702-415-4186
Molly Kalsman, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 871 Coronado Center Dr Ste 200, Henderson, NV 89052 Phone: 702-830-9685 Fax: 702-623-2921
My Nutrition My Life Llc Dietitian Medicare: Medicare Enrolled Practice Location: 170 S Green Valley Pkwy Fl 3, Henderson, NV 89012 Phone: 702-606-3106 Fax: 702-534-4003
Brittany Fryer, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2850 W Horizon Ridge Pkwy Ste 200, Henderson, NV 89052 Phone: 702-485-7235
Karol Lizeth Mapula, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1020 S Boulder Hwy, Henderson, NV 89015 Phone: 702-791-9030
Serena Hui Jason, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1124 Shady Run Terrace, Henderson, NV 89011 Phone: 702-461-8823
Laura Halper Harris, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2610 W Horizon Ridge Pkwy, 100, Henderson, NV 89052 Phone: 702-434-8222

Dominique Ashley Russo, RDN, LD - Medicare Dietitian in Henderson, NV