Dr Michael Anthony Russo, MD | |
7000 W Plano Pkwy Ste 110, Plano, TX 75093-8467 | |
(972) 306-3767 | |
(972) 566-8839 |
Full Name | Dr Michael Anthony Russo |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Gastroenterology |
Location | 7000 W Plano Pkwy Ste 110, Plano, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043272958 | NPI | - | NPPES |
8DD556 | Other | TX | BCBSTX |
166239701 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0206X | Pediatrics - Pediatric Gastroenterology | L2616 (Texas) | Primary |
Entity Name | Digestive Health Associates Of Texas Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831158310 PECOS PAC ID: 2769372150 Enrollment ID: O20040318001014 |
Entity Name | Texas Digestive Disease Consultants Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053397331 PECOS PAC ID: 3375531379 Enrollment ID: O20040505001844 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Anthony Russo, MD 7610 N Stemmons Fwy Ste 600, Dallas, TX 75247-4228 Ph: (214) 689-5960 | Dr Michael Anthony Russo, MD 7000 W Plano Pkwy Ste 110, Plano, TX 75093-8467 Ph: (972) 306-3767 |
Dr. Elizabeth Y Leon, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6300 W Parker Rd, Suite 426, Plano, TX 75093 Phone: 972-608-0774 Fax: 972-608-0595 | |
Natasha Patel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7601 Preston Rd, Plano, TX 75024 Phone: 214-456-9250 | |
Michael J Frank, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5940 Communications Pkwy, Plano, TX 75093 Phone: 972-403-9355 Fax: 972-403-1287 | |
Susan J. Sickler, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5940 Communications Pkwy, Plano, TX 75093 Phone: 972-403-9355 Fax: 972-403-1287 | |
Dr. Renesha Christine Butler, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7601 Preston Rd, Plano, TX 75024 Phone: 214-456-9250 Fax: 214-456-1240 | |
Dr. Ryan Mcelroy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6200 W Parker Rd, Suite 410, Plano, TX 75093 Phone: 972-981-8380 Fax: 972-981-8463 |