Kimberly A Russo, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" physician in Wilmington, Delaware. Her current practice location is
1600 Rockland Road, Wilmington, Delaware. You can reach out to her office (for appointments etc.) via phone at
(302) 651-4200.
Kimberly A Russo is licensed to practice in Delaware (license number L60A00549) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578500682.
Physician's Profile
Full Name | Kimberly A Russo |
---|
Gender | Female |
---|
Speciality | Nurse Anesthetist, Certified Registered |
---|
Location | 1600 Rockland Road, Wilmington, Delaware |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578500682
- Provider Enumeration Date: 05/31/2006
- Last Update Date: 07/10/2015
Medicare PECOS Information:
- PECOS PAC ID: 5395748362
- Enrollment ID: I20060811000100
Medical Identifiers
Medical identifiers for Kimberly A Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578500682 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | RN336781L (Pennsylvania) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN336781L (Pennsylvania) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | L10036317 (Delaware) | Secondary |
367H00000X | Anesthesiologist Assistant | L10036317 (Delaware) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | L60A00549 (Delaware) | 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. Kimberly A Russo allows following entities to bill medicare on her behalf.
Entity Name | Shriners Hospitals For Children |
---|
Entity Type | Part B Supplier - Hospital Department(s) |
---|
Entity Identifiers | NPI Number: 1659615706 PECOS PAC ID: 9133031933 Enrollment ID: O20140508000878 |
---|
Entity Name | Stc Pediatrics Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1144864547 PECOS PAC ID: 7315372323 Enrollment ID: O20200122001254 |
---|
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. Kimberly A 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 |
Kimberly A Russo, CRNA P.o. Box 191, Rockland, DE 19723-0191 Ph: (302) 651-4000 | Kimberly A Russo, CRNA 1600 Rockland Road, Wilmington, DE 19803-3607 Ph: (302) 651-4200 |
Reviews and Comments