Dr Ralph E Russo Iii, MD is a medicare enrolled "Nuclear Medicine - Nuclear Cardiology" physician in Moorestown, New Jersey. He went to Rutgers New Jersey Medical School and graduated in 1985 and has 39 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Virtua Medical Group, Pa and his current practice location is
728 Marne Hwy Ste 200a, Moorestown, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(856) 291-8855.
Dr Ralph E Russo Iii is licensed to practice in New Jersey (license number 25MA05172300) 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 1376510594.
Physician's Profile
| Full Name | Dr Ralph E Russo Iii |
|---|
| Gender | Male |
|---|
| Speciality | Cardiovascular Disease (cardiology) |
|---|
| Experience | 39 Years |
|---|
| Location | 728 Marne Hwy Ste 200a, Moorestown, New Jersey |
|---|
| Accepts Medicare Assignments | Yes. 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 Ralph E Russo Iii attended and graduated from Rutgers New Jersey Medical School in 1985
NPI Data:
- NPI Number: 1376510594
- Provider Enumeration Date: 03/07/2006
- Last Update Date: 10/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 6709804339
- Enrollment ID: I20110324000669
Medical Identifiers
Medical identifiers for Dr Ralph E Russo Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376510594 | NPI | - | NPPES |
| 4562704 | Medicaid | NJ | |
| BNS045 | Other | | OXFORD |
| 0004199975 | Other | | AETNA |
| F01230 | Other | | HEALTHNET |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 25MA05172300 (New Jersey) | Secondary |
| 207UN0901X | Nuclear Medicine - Nuclear Cardiology | 25MA05172300 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Virtua Medical Group, Pa | 9830222397 | 1260 |
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 Ralph E Russo Iii allows following entities to bill medicare on his behalf.
| Entity Name | Virtua Medical Group, Pa |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1649226515
PECOS PAC ID: 9830222397
Enrollment ID: O20100804000338 |
|---|
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 Ralph E Russo Iii 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 Ralph E Russo Iii, MD
301 Lippincott Dr Ste 410,
Marlton, NJ 08053-4197
Ph: (856) 355-0340 | Dr Ralph E Russo Iii, MD
728 Marne Hwy Ste 200a,
Moorestown, NJ 08057-3128
Ph: (856) 291-8855 |
Reviews and Comments