Jennefer Allyn Russo, MD | |
700 S. Tustin Street, Orange, CA 92866 | |
(714) 633-6373 | |
(714) 532-2522 |
Full Name | Jennefer Allyn Russo |
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Gender | Female |
Speciality | Obstetrics & Gynecology - Gynecology |
Location | 700 S. Tustin Street, Orange, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1023033081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207VG0400X | Obstetrics & Gynecology - Gynecology | MD439233 (Pennsylvania) | Secondary |
207VG0400X | Obstetrics & Gynecology - Gynecology | A82067 (California) | Primary |
Entity Name | Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356304034 PECOS PAC ID: 0143128009 Enrollment ID: O20031230000251 |
Mailing Address | Practice Location Address |
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Jennefer Allyn Russo, MD 300 Halket St, Pittsburgh, PA 15213-3108 Ph: (412) 641-3464 | Jennefer Allyn Russo, MD 700 S. Tustin Street, Orange, CA 92866 Ph: (714) 633-6373 |
Dr. Laura Catherine Skoczylas, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Building 56, Department Of Ob/gyn, Orange, CA 92868 Phone: 714-456-8224 Fax: 714-456-8360 | |
Gelareh Renee Nikpour-heravi, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2501 E Chapman Ave Ste 201-202, Orange, CA 92869 Phone: 714-282-1892 Fax: 714-289-3906 | |
Dr. Madushka Yohan De Zoysa, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 The City Dr S, Orange, CA 92868 Phone: 714-880-7812 | |
Shruti Ria Dasgupta, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2501 E Chapman Ave Ste 400, Orange, CA 92869 Phone: 714-628-6642 | |
Dr. Tamera Hatfield, MD, PHD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 200 S. Manchester Ave, Suite 600, Orange, CA 92868 Phone: 714-456-2911 Fax: 714-456-8383 | |
Dr. Stephanie J. Warsheski, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3800 W Chapman Ave Ste 3400, Orange, CA 92868 Phone: 714-456-7733 |