Dr Lorena Bischoff Russo, MD | |
1820 41st Ave Ste C, Capitola, CA 95010-2516 | |
(831) 686-7611 | |
(831) 477-2009 |
Full Name | Dr Lorena Bischoff Russo |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 31 Years |
Location | 1820 41st Ave Ste C, Capitola, California |
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 |
---|---|---|---|
1306959390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G81050 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Dominican Hospital | Santa cruz, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dignity Health Medical Foundation | 7810800661 | 1199 |
Entity Name | Dignity Health Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700803418 PECOS PAC ID: 7810800661 Enrollment ID: O20031107000709 |
Entity Name | Santa Cruz Community Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902923329 PECOS PAC ID: 0840259107 Enrollment ID: O20041004000763 |
Mailing Address | Practice Location Address |
---|---|
Dr Lorena Bischoff Russo, MD 3400 Data Dr, Attn: Credentialing/payer Enrollment, Rancho Cordova, CA 95670-7956 Ph: () - | Dr Lorena Bischoff Russo, MD 1820 41st Ave Ste C, Capitola, CA 95010-2516 Ph: (831) 686-7611 |
Mr. Robert P. Chen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 528 Capitola Ave, Capitola, CA 95010 Phone: 831-475-1630 Fax: 831-475-1629 | |
Mr. Kevin J Hasenauer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 528 Capitola Ave, Capitola, CA 95010 Phone: 831-475-1630 Fax: 831-475-1629 | |
Daniel E Temple, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 528 Capitola Ave, Capitola, CA 95010 Phone: 831-475-1630 Fax: 831-475-1629 | |
Filomena Fatima Trindade, M.D., M.P.H. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 720 Capitola Ave Ste A, Capitola, CA 95010 Phone: 831-462-4441 Fax: 831-426-4494 | |
Mr. Gael F Decleve, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 528 Capitola Ave, Capitola, CA 95010 Phone: 831-475-1630 Fax: 831-475-1629 | |
Tooba Khan, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 528 Capitola Ave, Capitola, CA 95010 Phone: 831-475-1630 | |
Mrs. Nancy L Greenstreet, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 528 Capitola Ave, Capitola, CA 95010 Phone: 831-475-1630 Fax: 831-475-1629 |