Fredrick Matthew Russo, MD in Porter Ranch, CA

Fredrick Matthew Russo, MD is a medicare enrolled "Internal Medicine" physician in Porter Ranch, California. His current practice location is 19950 Rinaldi St, Porter Ranch, California. You can reach out to his office (for appointments etc.) via phone at (818) 403-2420.

Fredrick Matthew Russo is licensed to practice in California (license number C41689) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457370074.

Contact Information

	Fredrick Matthew Russo, MD
	19950 Rinaldi St, Porter Ranch, CA 91326-4141
	(818) 403-2420
	(818) 360-6036

Map and Direction

Physician's Profile

Full Name	Fredrick Matthew Russo
Gender	Male
Speciality	Internal Medicine
Location	19950 Rinaldi St, Porter Ranch, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457370074
Provider Enumeration Date: 07/18/2006
Last Update Date: 04/03/2014

Medicare PECOS Information:

PECOS PAC ID: 7618869512
Enrollment ID: I20040325001812

Medical Identifiers

Medical identifiers for Fredrick Matthew Russo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457370074	NPI	-	NPPES
00C416890	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	C41689 (California)	Primary

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. Fredrick Matthew Russo allows following entities to bill medicare on his behalf.

Entity Name	Providence Facey Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822

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. Fredrick Matthew 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 Address	Practice Location Address
Fredrick Matthew Russo, MD Po Box 9602, Mission Hills, CA 91346-9602 Ph: (818) 837-5691	Fredrick Matthew Russo, MD 19950 Rinaldi St, Porter Ranch, CA 91326-4141 Ph: (818) 403-2420

Reviews and Comments

Internal Medicine Doctors in Porter Ranch, CA

Renata Selak Stankovic, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19950 Rinaldi St Ste 300, Porter Ranch, CA 91326 Phone: 818-271-2400 Fax: 818-271-2401
Sue Yeon Chung, MD. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19950 Rinaldi St, Porter Ranch, CA 91326 Phone: 818-403-2420
Dr. Ira Jeffry Strumpf, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 19801 Falcon Crest Way, Porter Ranch, CA 91326 Phone: 818-366-2030 Fax: 818-366-8504
Jelena Maletkovic, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19950 Rinaldi St Ste 300, Porter Ranch, CA 91326 Phone: 818-271-2400
Alaleh Sareh, MD. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19950 Rinaldi St, Porter Ranch, CA 91326 Phone: 818-403-2420 Fax: 818-360-6036
Dr. Salima Thobani, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 11362 Santini Ln, Porter Ranch, CA 91326 Phone: 310-570-8337
Vindeep Bhandari, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 19950 Rinaldi St Ste 300, Porter Ranch, CA 91326 Phone: 818-271-2400 Fax: 818-271-2401

Fredrick Matthew Russo, MD - Medicare Internal Medicine in Porter Ranch, CA