Katherine M Russo, CD in Sheboygan, WI - Medicare Dietitian, Registered Provider

Katherine M Russo, CD is a medicare enrolled "Dietitian, Registered" provider in Sheboygan, Wisconsin. Her current practice location is 2414 Kohler Memorial Dr, Sheboygan, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 453-3920.

Katherine M Russo is licensed to practice in Wisconsin (license number 3243) 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 1992413132.

Contact Information

	Katherine M Russo, CD
	2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129
	(920) 453-3920
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katherine M Russo
Gender	Female
Speciality	Dietitian, Registered
Location	2414 Kohler Memorial Dr, Sheboygan, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992413132
Provider Enumeration Date: 11/07/2022
Last Update Date: 11/07/2022

Medicare PECOS Information:

PECOS PAC ID: 6800261306
Enrollment ID: I20230415000192

Medical Identifiers

Medical identifiers for Katherine M Russo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992413132	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	3243 (Wisconsin)	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. Katherine M Russo allows following entities to bill medicare on her behalf.

Provider Name	Aurora Medical Group, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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. Katherine M 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
Katherine M Russo, CD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: (920) 453-3920	Katherine M Russo, CD 2414 Kohler Memorial Dr, Sheboygan, WI 53081-3129 Ph: (920) 453-3920

Reviews and Comments

Dietitian, Registered in Sheboygan, WI

Molly E Jorde, RDN, CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461
Mary G Boll, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461
Teresa M Fialkowski, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2629 N 7th St, Sheboygan, WI 53083 Phone: 920-451-5608
Andrea M Rahm, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461
Meredith Nitka, RD Dietitian Medicare: Medicare Enrolled Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461
Mrs. Jessica N. Schrage, RD, CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461
Kelley Michelle Encinas, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1011 N 8th St, Sheboygan, WI 53081 Phone: 920-459-6411

Katherine M Russo, CD - Medicare Dietitian in Sheboygan, WI