Dr Gary Edward Russolillo, MD is a medicare enrolled "Plastic Surgery" physician in West Hartford, Connecticut. He went to George Washington University School Of Medicine and graduated in 1968 and has 56 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. His current practice location is
970 Farmington Ave, Suite 21, West Hartford, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 521-2200.
Dr Gary Edward Russolillo is licensed to practice in Connecticut (license number 014345) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1518046358.
Physician's Profile
Full Name | Dr Gary Edward Russolillo |
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Gender | Male |
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Speciality | Plastic And Reconstructive Surgery |
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Experience | 56 Years |
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Location | 970 Farmington Ave, West Hartford, Connecticut |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Gary Edward Russolillo attended and graduated from George Washington University School Of Medicine in 1968
NPI Data:
- NPI Number: 1518046358
- Provider Enumeration Date: 11/03/2006
- Last Update Date: 07/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 5395786222
- Enrollment ID: I20050520000178
Medical Identifiers
Medical identifiers for Dr Gary Edward Russolillo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518046358 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208200000X | Plastic Surgery | 014345 (Connecticut) | Primary |
Medical Facilities Affiliation
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. Dr Gary Edward Russolillo allows following entities to bill medicare on his behalf.
Entity Name | Gary E Russolillo Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710128699 PECOS PAC ID: 4486704962 Enrollment ID: O20090603000399 |
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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. Dr Gary Edward Russolillo 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 |
Dr Gary Edward Russolillo, MD 970 Farmington Ave, Suite 21, West Hartford, CT 06107-2139 Ph: (860) 521-2200 | Dr Gary Edward Russolillo, MD 970 Farmington Ave, Suite 21, West Hartford, CT 06107-2139 Ph: (860) 521-2200 |
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