Dr Scott Michael Russo, DO | |
144 State St, Portland, ME 04101-3776 | |
(207) 879-3000 | |
Not Available |
Full Name | Dr Scott Michael Russo |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 144 State St, Portland, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619913969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2024 (Maine) | Primary |
Entity Name | Mercy Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629078712 PECOS PAC ID: 6103737812 Enrollment ID: O20040217000943 |
Mailing Address | Practice Location Address |
---|---|
Dr Scott Michael Russo, DO 144 State St, Portland, ME 04101-3776 Ph: (207) 879-3265 | Dr Scott Michael Russo, DO 144 State St, Portland, ME 04101-3776 Ph: (207) 879-3000 |
Thomas M Eslinger, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-7010 Fax: 207-662-7025 | |
Dr. Christopher T Bowe, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-7010 Fax: 207-662-7025 | |
Sandra L Stevens, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111 | |
Dr. Gregory Scott Heaphy, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 144 State St, Portland, ME 04101 Phone: 207-879-3000 | |
Dr. Eric G Lowe, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-7060 Fax: 207-662-7066 | |
Christopher James Watson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-2381 | |
Patrick Murphy, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 22 Bramhall St, Portland, ME 04102 Phone: 207-662-0111 |