Gordon J Russo, MD is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Gretna, Louisiana. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 1979 and has 45 years of diverse experience with area of expertise as Dermatology. His current practice location is
120 Meadowcrest St, Suite 160, Gretna, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(504) 391-7620.
Gordon J Russo is licensed to practice in Louisiana (license number 015208) 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 1083612469.
Physician's Profile
Full Name | Gordon J Russo |
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Gender | Male |
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Speciality | Dermatology |
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Experience | 45 Years |
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Location | 120 Meadowcrest St, Gretna, Louisiana |
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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. |
Medical Education and Training:
- Gordon J Russo attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1979
NPI Data:
- NPI Number: 1083612469
- Provider Enumeration Date: 07/11/2005
- Last Update Date: 02/03/2010
Medicare PECOS Information:
- PECOS PAC ID: 8527088939
- Enrollment ID: I20100810000014
Medical Identifiers
Medical identifiers for Gordon J Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083612469 | NPI | - | NPPES |
1329495 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207NS0135X | Dermatology - Procedural Dermatology | 015208 (Louisiana) | 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. Gordon J Russo allows following entities to bill medicare on his behalf.
Entity Name | Westside Dermatology Associates A Professional Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588725808 PECOS PAC ID: 0446270854 Enrollment ID: O20051130000674 |
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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. Gordon J 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 |
Gordon J Russo, MD 3725 Lake Michael Ct, Gretna, LA 70056-8326 Ph: () - | Gordon J Russo, MD 120 Meadowcrest St, Suite 160, Gretna, LA 70056-5255 Ph: (504) 391-7620 |
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