Dr Melvin F Russi Jr, MD is a medicare enrolled "Urology" physician in Los Altos Hills, California. His current practice location is
12200 Colina Dr, Los Altos Hills, California. You can reach out to his office (for appointments etc.) via phone at
(650) 941-8212.
Dr Melvin F Russi Jr is licensed to practice in California (license number GFE11171) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740591478.
Physician's Profile
Full Name | Dr Melvin F Russi Jr |
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Gender | Male |
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Speciality | Urology |
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Location | 12200 Colina Dr, Los Altos Hills, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740591478
- Provider Enumeration Date: 06/28/2010
- Last Update Date: 06/28/2010
Medicare PECOS Information:
- PECOS PAC ID: 2860793015
- Enrollment ID: I20151214001137
Medical Identifiers
Medical identifiers for Dr Melvin F Russi Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740591478 | NPI | - | NPPES |
GFE11171 | Other | CA | MEDICAL BOARD OF CALIFORNIA CERTIFICATE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | GFE11171 (California) | Primary |
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 Melvin F Russi Jr 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 Melvin F Russi Jr, MD 12200 Colina Dr, Los Altos Hills, CA 94024-5299 Ph: (650) 941-8212 | Dr Melvin F Russi Jr, MD 12200 Colina Dr, Los Altos Hills, CA 94024-5299 Ph: (650) 941-8212 |
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