Chloe Lan Russo, MD | |
3747 Roswell Rd Ste 205, Marietta, GA 30062-6227 | |
(470) 956-9050 | |
(678) 560-4339 |
Full Name | Chloe Lan Russo |
---|---|
Gender | Female |
Speciality | Pediatric Medicine |
Experience | 11 Years |
Location | 3747 Roswell Rd Ste 205, Marietta, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528300639 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 76158 (Georgia) | Secondary |
207K00000X | Allergy & Immunology | 76158 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wellstar Medical Group, Llc | 6709065402 | 1917 |
Entity Name | Wellstar Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
Mailing Address | Practice Location Address |
---|---|
Chloe Lan Russo, MD 377 Roswell St Ne Ste 205, Marietta, GA 30060 Ph: (470) 956-9050 | Chloe Lan Russo, MD 3747 Roswell Rd Ste 205, Marietta, GA 30062-6227 Ph: (470) 956-9050 |
Nancy Bonner, Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 2150 Northwest Pkwy Se, Suite A, Marietta, GA 30067 Phone: 888-816-7047 Fax: 888-840-1265 | |
Stanley M Fineman, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 790 Church St Ne Ste 150, Marietta, GA 30060 Phone: 770-953-3331 Fax: 770-424-4480 | |
Louis B Kalish, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 790 Church St Ne Ste 150, Marietta, GA 30060 Phone: 770-953-3331 Fax: 770-424-4480 | |
Grace Chiang, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 3747 Roswell Rd Ste 205, Marietta, GA 30062 Phone: 770-333-2027 Fax: 770-333-2031 |