Jackie Marie Russo, NP in Miramar, FL - Medicare Nurse Practitioner

Jackie Marie Russo, NP is a medicare enrolled "Nurse Practitioner" in Miramar, Florida. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Angelo Ayar Md Pa and her current practice location is 12600 Pembroke Rd Ste 310, Miramar, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 431-7681.

Jackie Marie Russo is licensed to practice in Florida (license number ARNP9295134) 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 1134643315.

Contact Information

	Jackie Marie Russo, NP
	12600 Pembroke Rd Ste 310, Miramar, FL 33027-2544
	(954) 431-7681
	(954) 431-7682

Map and Direction

Provider's Profile

Full Name	Jackie Marie Russo
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	12600 Pembroke Rd Ste 310, Miramar, 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:

Jackie Marie Russo graduated from nursing school in 2016

NPI Data:

NPI Number: 1134643315
Provider Enumeration Date: 07/31/2017
Last Update Date: 03/02/2022

Medicare PECOS Information:

PECOS PAC ID: 9032479597
Enrollment ID: I20180201002707

Medical Identifiers

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

Identifier	Type	State	Issuer
1134643315	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	ARNP9295134 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Angelo Ayar Md Pa	9537415435	5

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. Jackie Marie Russo allows following entities to bill medicare on her behalf.

Entity Name	Dermatology Consultants Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689815904 PECOS PAC ID: 7214948124 Enrollment ID: O20060508000076

Entity Name	Angelo Ayar Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548779655 PECOS PAC ID: 9537415435 Enrollment ID: O20180709000160

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. Jackie Marie 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
Jackie Marie Russo, NP 12600 Pembroke Rd Ste 310, Miramar, FL 33027-2544 Ph: (954) 431-7681	Jackie Marie Russo, NP 12600 Pembroke Rd Ste 310, Miramar, FL 33027-2544 Ph: (954) 431-7681

Reviews and Comments

Nurse Practitioner Nurses in Miramar, FL

Jennifer Richards, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3720 Executive Way Ste 106, Miramar, FL 33025 Phone: 877-868-4827
Yarixel Gache Ortiz, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12204 Miramar Pkwy Ste 13, Miramar, FL 33025 Phone: 786-372-3654
Claudline Pierre Louis, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6300 Sw 35th Ct, Miramar, FL 33023 Phone: 786-200-0227
Marie S Laguerre, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13793 Sw 26th St, Miramar, FL 33027 Phone: 305-987-4198 Fax: 954-433-4622
Mrs. Marie Monique Charles, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 Knolls Rd, Miramar, FL 33025 Phone: 305-491-3396
Ashley E Huergo, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14601 Sw 37th St, Miramar, FL 33027 Phone: 786-942-8781
Katiana Legagneur, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2341 Pine Tree Dr, Miramar, FL 33023 Phone: 239-324-6854

Jackie Marie Russo, NP - Medicare Nurse Practitioner in Miramar, FL