Dr Paul H Russo, MD - Medicare Family Practice in Kaukauna, WI

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Dr Paul H Russo, MD is a medicare enrolled "Family Medicine" physician in Kaukauna, Wisconsin. He went to Southern Illinois University School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Kaukauna Clinic, S.c. and his current practice location is 305 E 12th St, Kaukauna, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 766-4656.

Dr Paul H Russo is licensed to practice in Wisconsin (license number 0029508) 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 1164488458.

Contact Information

Dr Paul H Russo, MD
305 E 12th St,
Kaukauna, WI 54130-2865
(920) 766-4656
(920) 766-4659

Map and Direction




Physician's Profile

Full NameDr Paul H Russo
GenderMale
SpecialityFamily Practice
Experience37 Years
Location305 E 12th St, Kaukauna, Wisconsin
Accepts Medicare AssignmentsYes. 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 Paul H Russo attended and graduated from Southern Illinois University School Of Medicine in 1987
  NPI Data:
  • NPI Number: 1164488458
  • Provider Enumeration Date: 04/25/2006
  • Last Update Date: 11/26/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 8123028420
  • Enrollment ID: I20100524000036

Medical Identifiers

Medical identifiers for Dr Paul H Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164488458NPI-NPPES
31591400MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0029508 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thedacare At HomeAppleton, WIHome health agency
Thedacare At HomeAppleton, WIHospice
Thedacare Regional Medical Center - Appleton IncAppleton, WIHospital
Thedacare Regional Med Ctr - NeenahNeenah, WIHospital
St Paul Elder Services, IncKaukauna, WINursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaukauna Clinic, S.c.55977658919

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 Paul H Russo allows following entities to bill medicare on his behalf.
Entity NameThedacare, Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088
Entity NameUniversity Of Wisconsin Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598784555
PECOS PAC ID: 6608785464
Enrollment ID: O20031111000435
Entity NameKaukauna Clinic, S.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457317273
PECOS PAC ID: 5597765891
Enrollment ID: O20070111000068
Entity NameMosaic Family Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548653389
PECOS PAC ID: 4082925243
Enrollment ID: O20150616000255

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 Paul H Russo 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 AddressPractice Location Address
Dr Paul H Russo, MD
305 E 12th St,
Kaukauna, WI 54130-2865

Ph: (920) 766-4656		Dr Paul H Russo, MD
305 E 12th St,
Kaukauna, WI 54130-2865

Ph: (920) 766-4656

Reviews and Comments


Family Medicine Doctors in Kaukauna, WI

Dr. Joseph C Graunke, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 305 E 12th St, Kaukauna, WI 54130
Phone: 920-766-4656    Fax: 920-766-4659
Dr. Bruce R Danz, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 305 E 12th St, Kaukauna, WI 54130
Phone: 920-766-4656    Fax: 920-766-4659
Dr. Timothy P Culligan, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 305 E 12th St, Kaukauna, WI 54130
Phone: 920-766-4656    Fax: 920-766-4659
Dr. Gregory A Johnson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 305 East 12th Street, Kaukauna, WI 54130
Phone: 920-766-4656    Fax: 920-766-4659
Dr. Jennifer L Schoening, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 305 E 12th St, Kaukauna, WI 54130
Phone: 920-766-4656    Fax: 920-766-4659
Amy S Coulthard-atwater, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Arbor Way, Kaukauna, WI 54130
Phone: 920-766-3200    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.