Mrs Jacqueline Jaudon Russo, MD in Gainesville, FL

Mrs Jacqueline Jaudon Russo, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Gainesville, Florida. She went to University Of Miami, Lm Miller School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Aqua Dermatology Of Florida, Pa and her current practice location is 5427 Sw 75th Ter, Gainesville, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 373-0188.

Mrs Jacqueline Jaudon Russo is licensed to practice in Florida (license number ME#106414) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316028376.

Contact Information

	Mrs Jacqueline Jaudon Russo, MD
	5427 Sw 75th Ter, Gainesville, FL 32608-4413
	(352) 373-0188
	Not Available

Map and Direction

Physician's Profile

Full Name	Mrs Jacqueline Jaudon Russo
Gender	Female
Speciality	Pathology
Experience	18 Years
Location	5427 Sw 75th Ter, Gainesville, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Jacqueline Jaudon Russo attended and graduated from University Of Miami, Lm Miller School Of Medicine in 2006

NPI Data:

NPI Number: 1316028376
Provider Enumeration Date: 10/18/2006
Last Update Date: 03/14/2011

Medicare PECOS Information:

PECOS PAC ID: 2860662129
Enrollment ID: I20110824000899

Medical Identifiers

Medical identifiers for Mrs Jacqueline Jaudon Russo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316028376	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	ME#106414 (Florida)	Primary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	10064 (Florida)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aqua Dermatology Of Florida, Pa	1153390414	161

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. Mrs Jacqueline Jaudon Russo allows following entities to bill medicare on her behalf.

Entity Name	Florida Clinical Practice Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099

Entity Name	Bay Dermatology And Cosmetic Surgery Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437148996 PECOS PAC ID: 7517851215 Enrollment ID: O20040212000454

Entity Name	Vitalmd Group Holding Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871572032 PECOS PAC ID: 8921091786 Enrollment ID: O20040406001878

Entity Name	Aqua Dermatology Of Florida, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538270335 PECOS PAC ID: 1153390414 Enrollment ID: O20041002000097

Entity Name	Mark And Kambour Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760456172 PECOS PAC ID: 0840258646 Enrollment ID: O20041227000613

Entity Name	One Path Diagnostics Llc
Entity Type	Part B Supplier - Independent Clinical Laboratory
Entity Identifiers	NPI Number: 1679229942 PECOS PAC ID: 2567841778 Enrollment ID: O20220617002189

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. Mrs Jacqueline Jaudon 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
Mrs Jacqueline Jaudon Russo, MD 5427 Sw 75th Ter, Gainesville, FL 32608-4413 Ph: (352) 373-0188	Mrs Jacqueline Jaudon Russo, MD 5427 Sw 75th Ter, Gainesville, FL 32608-4413 Ph: (352) 373-0188

Reviews and Comments

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Mrs Jacqueline Jaudon Russo, MD - Medicare Pathology in Gainesville, FL