Lee Stuart Rusakow, MD in Denver, CO

Lee Stuart Rusakow, MD is a medicare enrolled "Pediatrics - Pediatric Pulmonology" physician in Denver, Colorado. His current practice location is 4545 E 9th Ave, Suite 504, Denver, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 831-9853.

Lee Stuart Rusakow is licensed to practice in Colorado (license number 29525) 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 1710973532.

Contact Information

	Lee Stuart Rusakow, MD
	4545 E 9th Ave, Suite 504, Denver, CO 80220-3901
	(303) 831-9853
	(303) 832-3533

Map and Direction

Physician's Profile

Full Name	Lee Stuart Rusakow
Gender	Male
Speciality	Pediatrics - Pediatric Pulmonology
Location	4545 E 9th Ave, Denver, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710973532
Provider Enumeration Date: 09/27/2005
Last Update Date: 04/05/2013

Medicare PECOS Information:

PECOS PAC ID: 9335153709
Enrollment ID: I20190918003441

Medical Identifiers

Medical identifiers for Lee Stuart Rusakow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710973532	NPI	-	NPPES
2004704000	Other	WV	MEDICAID
64034978	Other	KY	MEDICAID
2252093	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0214X	Pediatrics - Pediatric Pulmonology	29525 (Colorado)	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. Lee Stuart Rusakow allows following entities to bill medicare on his behalf.

Entity Name	Banner Physician Super Specialists Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841573870 PECOS PAC ID: 7911173794 Enrollment ID: O20111228000353

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. Lee Stuart Rusakow 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
Lee Stuart Rusakow, MD 4545 E 9th Ave, Suite 504, Denver, CO 80220-3901 Ph: (303) 831-9853	Lee Stuart Rusakow, MD 4545 E 9th Ave, Suite 504, Denver, CO 80220-3901 Ph: (303) 831-9853

Reviews and Comments

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Matthew Soden, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 501 S Cherry St Ste 1100, Denver, CO 80246 Phone: 720-593-6711 Fax: 720-706-1393
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Lee Stuart Rusakow, MD - Medicare Pediatrics in Denver, CO