Marina K Russo, MD | |
1118 Legacy Pointe Dr, Springfield, IL 62711 | |
(217) 787-8870 | |
(217) 787-6158 |
Full Name | Marina K Russo |
---|---|
Gender | Female |
Speciality | Endocrinology |
Experience | 35 Years |
Location | 1118 Legacy Pointe Dr, Springfield, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174510978 | NPI | - | NPPES |
6394P | Other | IL | CATERPILLAR |
036102799 | Medicaid | IL | |
14D0949277 | Other | IL | CLIA CERT |
08421024 | Other | IL | BLUE CROSS BLUE SHIELD |
020057300 | Other | IL | BLACK LUNG |
CD7143 | Other | IL | RR MEDICARE GRP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 036102799 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Marys Hospital | Decatur, IL | Hospital |
St Johns Hospital | Springfield, IL | Hospital |
Decatur Memorial Hospital | Decatur, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hshs Medical Group Inc | 5092857821 | 225 |
Entity Name | Hshs Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962644807 PECOS PAC ID: 5092857821 Enrollment ID: O20100116000275 |
Mailing Address | Practice Location Address |
---|---|
Marina K Russo, MD 1118 Legacy Pointe Dr, Springfield, IL 62711 Ph: (217) 787-8870 | Marina K Russo, MD 1118 Legacy Pointe Dr, Springfield, IL 62711 Ph: (217) 787-8870 |
Zachariah Gurnsey, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St, Ste 1100, Springfield, IL 62702 Phone: 217-545-0182 Fax: 217-545-8156 | |
Fadel Ahmed Bofarrag, MD, MPH Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St Ste D434, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7063 | |
Winston J Townsend, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 1836 S Macarthur Blvd, Springfield, IL 62704 Phone: 217-789-1403 Fax: 217-789-1825 | |
William R Yu, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 2901 Old Jacksonville Rd, Springfield, IL 62704 Phone: 217-698-9722 Fax: 217-698-8012 | |
Dr. Susan M. O'neal, D.O. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-528-7541 | |
Dr. Mukul Bhattarai, MD. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 747 N Rutledge St Fl 4, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-7877 | |
Nathalie Emma-marie Foray, DO Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 751 N Rutledge St Ste 1700, Springfield, IL 62702 Phone: 217-545-8000 Fax: 217-545-1229 |