Kristin Theresa Russo, FNP in Southampton, NY

Kristin Theresa Russo, FNP is a medicare enrolled "Nurse Practitioner - Family" in Southampton, New York. Her current practice location is 240 Meeting House Ln, Southampton, New York. You can reach out to her office (for appointments etc.) via phone at (631) 638-7702.

Kristin Theresa Russo is licensed to practice in New York (license number 350492) 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 1801511837.

Contact Information

	Kristin Theresa Russo, FNP
	240 Meeting House Ln, Southampton, NY 11968-5009
	(631) 638-7702
	(631) 638-7327

Map and Direction

Provider's Profile

Full Name	Kristin Theresa Russo
Gender	Female
Speciality	Nurse Practitioner - Family
Location	240 Meeting House Ln, Southampton, 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: 1801511837
Provider Enumeration Date: 10/12/2022
Last Update Date: 10/17/2022

Medicare PECOS Information:

PECOS PAC ID: 4688011869
Enrollment ID: I20240322004191

Medical Identifiers

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

Identifier	Type	State	Issuer
1801511837	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	350492 (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. Kristin Theresa Russo allows following entities to bill medicare on her behalf.

Entity Name	Meeting House Lane Medical Practice Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902088495 PECOS PAC ID: 6800972589 Enrollment ID: O20080326000089

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. Kristin Theresa 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
Kristin Theresa Russo, FNP 240 Meeting House Ln, Southampton, NY 11968-5009 Ph: (631) 726-8200	Kristin Theresa Russo, FNP 240 Meeting House Ln, Southampton, NY 11968-5009 Ph: (631) 638-7702

Reviews and Comments

Nurse Practitioner Nurses in Southampton, NY

Mrs. Eleanor Mellon Dunham, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 335b Meeting House Ln, Southampton, NY 11968 Phone: 631-287-5990 Fax: 631-287-5995
Cristina Fonalledas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 240 Meeting House Ln, Southampton, NY 11968 Phone: 631-726-8400
Ana Nonneth Espiritu Guiang, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 240 Meeting House Ln, Southampton, NY 11968 Phone: 631-726-8293 Fax: 631-726-8307
Kimberly Britt, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 240 Meeting House Ln, Southampton, NY 11968 Phone: 631-726-8400
Mrs. Lauren St Armand Haizlip, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 240 Meeting House Ln, Southampton, NY 11968 Phone: 631-726-3300
Alexandra Peck, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2 Montauk Hwy, Southampton, NY 11968 Phone: 646-962-9920
Ms. Patricia Blanche Morrison-sasso, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 335b Meeting House Ln, Southampton, NY 11968 Phone: 631-287-5990

Kristin Theresa Russo, FNP - Medicare Nurse Practitioner in Southampton, NY