Gregory K Russo, MD | |
2909 Main St, Robert D. Russo, M.d. & Associates Radiology, P.c., Stratford, CT 06614-4960 | |
(203) 683-4570 | |
(203) 926-1415 |
Full Name | Gregory K Russo |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 23 Years |
Location | 2909 Main St, Stratford, Connecticut |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770502361 | NPI | - | NPPES |
001436212 | Medicaid | CT | |
010043621 | Other | CT | ANTHEM BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 043621 (Connecticut) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Norwalk Hospital | Norwalk, CT | Hospital |
Danbury Hospital | Danbury, CT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Danbury Radiological Associates, Pc | 2264408533 | 34 |
Reono Bertagnolli A Medical Group | 6800709783 | 42 |
Premier Imaging Llc | 8820403637 | 34 |
Entity Name | Yale University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
Entity Name | Jefferson Radiology Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396795951 PECOS PAC ID: 8729982525 Enrollment ID: O20031124000161 |
Entity Name | Yale University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093862740 PECOS PAC ID: 9436061736 Enrollment ID: O20031124000690 |
Entity Name | Danbury Radiological Associates, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639164106 PECOS PAC ID: 2264408533 Enrollment ID: O20040908000695 |
Entity Name | Orthopaedic Specialty Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558313767 PECOS PAC ID: 8820037898 Enrollment ID: O20050428000802 |
Entity Name | Specialty Imaging Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003804709 PECOS PAC ID: 6406897354 Enrollment ID: O20050520000349 |
Entity Name | Connecticut Imaging Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740315761 PECOS PAC ID: 4183649098 Enrollment ID: O20051011000041 |
Entity Name | Kan-di-ki Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548422488 PECOS PAC ID: 5991737140 Enrollment ID: O20150618002115 |
Entity Name | Reono Bertagnolli A Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134424005 PECOS PAC ID: 6800709783 Enrollment ID: O20160929000671 |
Entity Name | Tic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457702813 PECOS PAC ID: 4880972819 Enrollment ID: O20161026002352 |
Entity Name | Farmington Imaging Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275987802 PECOS PAC ID: 7719265651 Enrollment ID: O20161028000552 |
Entity Name | Chelmsford Mri Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356961601 PECOS PAC ID: 9537118609 Enrollment ID: O20200508000776 |
Entity Name | Premier Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760087027 PECOS PAC ID: 8820403637 Enrollment ID: O20210208002687 |
Mailing Address | Practice Location Address |
---|---|
Gregory K Russo, MD Po Box 6128, Robert D. Russo, M.d. & Associates Radiology, P.c., Bridgeport, CT 06606-0128 Ph: (203) 683-4570 | Gregory K Russo, MD 2909 Main St, Robert D. Russo, M.d. & Associates Radiology, P.c., Stratford, CT 06614-4960 Ph: (203) 683-4570 |
John P Donahue, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2909 Main St, Stratford, CT 06614 Phone: 203-683-4570 Fax: 203-378-4788 | |
Andres Ramirez, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 2876 Main St, Stratford, CT 06614 Phone: 203-696-3642 |