Alanna Caitlin Russo, NP is a medicare enrolled "Nurse Practitioner" physician in Coeur D Alene, Idaho. Her current practice location is
2003 Kootenai Health Way, Coeur D Alene, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 625-4000.
Alanna Caitlin Russo is licensed to practice in Idaho (license number NP70239) 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 1053884783.
Physician's Profile
| Full Name | Alanna Caitlin Russo |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 2003 Kootenai Health Way, Coeur D Alene, Idaho |
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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: 1053884783
- Provider Enumeration Date: 01/04/2019
- Last Update Date: 04/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597008078
- Enrollment ID: I20190524001099
Medical Identifiers
Medical identifiers for Alanna Caitlin Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053884783 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 5378522012 (Kansas) | Secondary |
| 363L00000X | Nurse Practitioner | NP70239 (Idaho) | 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. Alanna Caitlin Russo allows following entities to bill medicare on her behalf.
| Entity Name | Kansas University Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003858333
PECOS PAC ID: 8921911587
Enrollment ID: O20040401000328 |
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| Entity Name | University Of Kansas Hospital Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528019502
PECOS PAC ID: 9436054798
Enrollment ID: O20050908001103 |
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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. Alanna Caitlin 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 |
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Alanna Caitlin Russo, NP
2003 Kootenai Health Way,
Coeur D Alene, ID 83814-6051
Ph: (208) 625-4000 | Alanna Caitlin Russo, NP
2003 Kootenai Health Way,
Coeur D Alene, ID 83814-6051
Ph: (208) 625-4000 |
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