Lauren Russo, in Deer Park, NY - Medicare Physician Assistant

Lauren Russo, is a medicare enrolled "Physician Assistant" in Deer Park, New York. Her current practice location is 505 Grand Blvd Ste 1, Deer Park, New York. You can reach out to her office (for appointments etc.) via phone at (631) 243-1313.

Lauren Russo is licensed to practice in * (Not Available) (license number ) 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 1679340830.

Contact Information

	Lauren Russo,
	505 Grand Blvd Ste 1, Deer Park, NY 11729-5300
	(631) 243-1313
	Not Available

Map and Direction

Provider's Profile

Full Name	Lauren Russo
Gender	Female
Speciality	Physician Assistant
Location	505 Grand Blvd Ste 1, Deer Park, 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: 1679340830
Provider Enumeration Date: 12/07/2023
Last Update Date: 12/07/2023

Medicare PECOS Information:

PECOS PAC ID: 1355791443
Enrollment ID: I20240102003361

Medical Identifiers

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

Identifier	Type	State	Issuer
1679340830	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

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. Lauren 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
Lauren Russo, 17 Black Gum Tree Ln, Kings Park, NY 11754-1746 Ph: (631) 626-2693	Lauren Russo, 505 Grand Blvd Ste 1, Deer Park, NY 11729-5300 Ph: (631) 243-1313

Reviews and Comments

Physician Assistant Nurses in Deer Park, NY

David Moisan, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 16 Van Cott Rd, Deer Park, NY 11729 Phone: 631-274-0777
Jessica A Trojan, Physician Assistant Medicare: Medicare Enrolled Practice Location: 150 Old Country Rd, Deer Park, NY 11729 Phone: 631-793-8940
Hector Moises Murillo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2103 Deer Park Ave, Deer Park, NY 11729 Phone: 631-574-2060
Alyssa Nicole Caracola, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 505 Grand Blvd Ste 1, Deer Park, NY 11729 Phone: 631-243-1313
Ms. Eileen Marie Pillitteri, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2017 Deer Park Ave, Deer Park, NY 11729 Phone: 631-242-7444 Fax: 631-242-3810
Sarah L Miller, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1930 Deer Park Ave, Deer Park, NY 11729 Phone: 631-254-5900 Fax: 631-392-0948
Justine E Greenberg, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2090 Deer Park Ave, Family Medical Care Of Babylon, Deer Park, NY 11729 Phone: 631-667-9440 Fax: 631-667-3018

Lauren Russo, - Medicare Physician Assistant in Deer Park, NY