Dr Anthony Leonard Russo, MD | |
750 N Syringa St Ste 100, Post Falls, ID 83854-5275 | |
(208) 262-2600 | |
(208) 262-2700 |
Full Name | Dr Anthony Leonard Russo |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 750 N Syringa St Ste 100, Post Falls, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144213455 | NPI | - | NPPES |
1144213455 | Medicaid | ID | |
2106800 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | MD61084253 (Washington) | Secondary |
207P00000X | Emergency Medicine | M-8310 (Idaho) | Primary |
Entity Name | North Idaho Day Surgery Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104824739 PECOS PAC ID: 0840101218 Enrollment ID: O20110401000539 |
Mailing Address | Practice Location Address |
---|---|
Dr Anthony Leonard Russo, MD 1593 E Polston Ave, Post Falls, ID 83854-5326 Ph: (208) 262-2300 | Dr Anthony Leonard Russo, MD 750 N Syringa St Ste 100, Post Falls, ID 83854-5275 Ph: (208) 262-2600 |
Dr. David Charles King, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 N Syringa St Ste 100, Post Falls, ID 83854 Phone: 208-262-2348 Fax: 208-457-0015 | |
James Joseph Karambay, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 497 S Beck Rd, Post Falls, ID 83854 Phone: 208-618-6911 | |
Wallace Eric Chun, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 N Syringa St Ste 100, Post Falls, ID 83854 Phone: 208-262-2600 Fax: 208-262-2700 | |
Dr. Henry George Amon Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 N Syringa St Ste 100, Post Falls, ID 83854 Phone: 208-262-2600 Fax: 208-262-2700 | |
Dr. James Peter Winter, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1624 E Seltice Way, Post Falls, ID 83854 Phone: 208-626-2949 Fax: 323-395-5867 | |
Dr. Michael David Abrahams, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 750 N Syringa St Ste 100, Post Falls, ID 83854 Phone: 208-262-2600 Fax: 208-262-2700 | |
Travis L Buzzard, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 E Mullan Ave Ste 1300, Post Falls, ID 83854 Phone: 208-625-5630 |