Dorothy Russo, in New York, NY - Medicare Nurse Practitioner

Dorothy Russo, is a medicare enrolled "Nurse Practitioner" in New York, New York. Her current practice location is 535 E 70th St, New York, New York. You can reach out to her office (for appointments etc.) via phone at (646) 797-8917.

Dorothy Russo is licensed to practice in New York (license number F431766) 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 1053921841.

Contact Information

	Dorothy Russo,
	535 E 70th St, New York, NY 10021-4823
	(646) 797-8917
	Not Available

Map and Direction

Provider's Profile

Full Name	Dorothy Russo
Gender	Female
Speciality	Nurse Practitioner
Location	535 E 70th St, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053921841
Provider Enumeration Date: 08/06/2020
Last Update Date: 04/27/2021

Medicare PECOS Information:

PECOS PAC ID: 2961813811
Enrollment ID: I20201124002768

Medical Identifiers

Medical identifiers for Dorothy Russo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053921841	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	F431766 (New York)	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. Dorothy Russo allows following entities to bill medicare on her behalf.

Entity Name	Memorial Anesthesiology Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467423020 PECOS PAC ID: 8729977129 Enrollment ID: O20040313000040

Entity Name	Ny Society For The Relief Of Ruptured & Crippled Maintaining
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1902243488 PECOS PAC ID: 4082856513 Enrollment ID: O20130814000000

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. Dorothy 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
Dorothy Russo, Po Box 29234, New York, NY 10087-9234 Ph: (646) 797-8917	Dorothy Russo, 535 E 70th St, New York, NY 10021-4823 Ph: (646) 797-8917

Reviews and Comments

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Dorothy Russo, - Medicare Nurse Practitioner in New York, NY