Dr Kelly Sipe Russo, MD, MPH | |
1 Harry S Truman Pkwy, Ms 3102, Annapolis, MD 21401-7037 | |
(410) 222-4114 | |
Not Available |
Full Name | Dr Kelly Sipe Russo |
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Gender | Female |
Speciality | Internal Medicine - Infectious Disease |
Location | 1 Harry S Truman Pkwy, Annapolis, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1467466656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RI0200X | Internal Medicine - Infectious Disease | D0061987 (Maryland) | Primary |
Entity Name | Community Clinic, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790730281 PECOS PAC ID: 6204722614 Enrollment ID: O20040224000222 |
Mailing Address | Practice Location Address |
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Dr Kelly Sipe Russo, MD, MPH 1 Harry Truman Parkway, Ms 3102, Annapolis, MD 21401 Ph: (410) 222-4114 | Dr Kelly Sipe Russo, MD, MPH 1 Harry S Truman Pkwy, Ms 3102, Annapolis, MD 21401-7037 Ph: (410) 222-4114 |
Gashaw Adugna Dadi, M.D Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2001 Medical Pkwy, Annapolis, MD 21401 Phone: 240-495-4189 | |
Dr. Eugene Thomas Manion, MD Infectious Disease Medicare: Medicare Enrolled Practice Location: 900 Bestgate Road, Suite 303, Annapolis, MD 21401 Phone: 410-224-8220 Fax: 410-841-2482 | |
Dr. Lisa A Dimarzio, MD Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 2003 Medical Parkway, Suite 100, Annapolis, MD 21401 Phone: 410-573-1110 Fax: 410-266-0714 | |
Dr. Richard A Bernstein, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 133 Defense Hwy, Suite 109, Annapolis, MD 21401 Phone: 401-224-5558 Fax: 410-224-7321 | |
Dr. Jonathan A Altschuler, M.D. Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2002 Medical Pkwy, Ste 500, Annapolis, MD 21401 Phone: 410-573-6480 Fax: 410-573-9413 | |
Dr. Ira M Weinstein, MD Infectious Disease Medicare: Accepting Medicare Assignments Practice Location: 2000 Medical Pkwy, Suite 607, Annapolis, MD 21401 Phone: 410-266-1644 Fax: 410-266-1642 | |
Dr. James M Blake, M.D. Infectious Disease Medicare: Not Enrolled in Medicare Practice Location: 820 Bestgate Road, Suite 2a, Annapolis, MD 21401 Phone: 410-224-2116 Fax: 410-224-2118 |