Dr Russell J Cavallo, MD is a medicare enrolled "Orthopaedic Surgery - Sports Medicine" physician in Rye Brook, New York. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Stamford Health Medical Group Inc and his current practice location is
90 S Ridge St, Suite Ul-1, Rye Brook, New York. You can reach out to his office (for appointments etc.) via phone at
(914) 708-1111.
Dr Russell J Cavallo is licensed to practice in New York (license number 196211) 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 1023011327.
Physician's Profile
| Full Name | Dr Russell J Cavallo |
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| Gender | Male |
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| Speciality | Sports Medicine |
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| Experience | 32 Years |
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| Location | 90 S Ridge St, Rye Brook, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Russell J Cavallo graduated from medical school in 1992
NPI Data:
- NPI Number: 1023011327
- Provider Enumeration Date: 05/31/2005
- Last Update Date: 10/04/2011
Medicare PECOS Information:
- PECOS PAC ID: 6406836246
- Enrollment ID: I20090217000543
Medical Identifiers
Medical identifiers for Dr Russell J Cavallo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023011327 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 196211 (New York) | Primary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 038069 (Connecticut) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Stamford Health Medical Group Inc | 6901099746 | 356 |
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 Russell J Cavallo allows following entities to bill medicare on his behalf.
| Entity Name | Stamford Health Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154633980
PECOS PAC ID: 6901099746
Enrollment ID: O20101025000743 |
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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 Russell J Cavallo 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 |
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Dr Russell J Cavallo, MD
90 S Ridge St, Suite Ul-1,
Rye Brook, NY 10573-2867
Ph: (914) 708-1111 | Dr Russell J Cavallo, MD
90 S Ridge St, Suite Ul-1,
Rye Brook, NY 10573-2867
Ph: (914) 708-1111 |
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