Mr Joseph William Russo, DNP, CPNP is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Orlando, Florida. His current practice location is
601 E Rollins St, Orlando, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 303-5437.
Mr Joseph William Russo is licensed to practice in Florida (license number APRN11012765) 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 1730786104.
Physician's Profile
| Full Name | Mr Joseph William Russo |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Pediatrics |
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| Location | 601 E Rollins St, Orlando, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1730786104
- Provider Enumeration Date: 10/07/2020
- Last Update Date: 11/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 4284002460
- Enrollment ID: I20221118001069
Medical Identifiers
Medical identifiers for Mr Joseph William Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730786104 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2080P0204X | Pediatrics - Pediatric Emergency Medicine | R196579 (Maryland) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | APRN11012765 (Florida) | 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. Mr Joseph William Russo allows following entities to bill medicare on his behalf.
| Entity Name | Florida Emergency Physicians Kang And Associates Md Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811983752
PECOS PAC ID: 0143113878
Enrollment ID: O20040205000687 |
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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. Mr Joseph William 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 |
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Mr Joseph William Russo, DNP, CPNP
3401 Gerber Daisy Ln,
Oviedo, FL 32766-6689
Ph: (203) 731-4169 | Mr Joseph William Russo, DNP, CPNP
601 E Rollins St,
Orlando, FL 32803-1248
Ph: (407) 303-5437 |
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