Mr Peter Joseph Russo, PA in Stockton, CA - Medicare Physician Assistant

Mr Peter Joseph Russo, PA is a medicare enrolled "Physician Assistant" in Stockton, California. He graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Sutter Valley Medical Foundation and his current practice location is 2545 W Hammer Ln, Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 957-7050.

Mr Peter Joseph Russo is licensed to practice in California (license number PA14699) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1588729941.

Contact Information

	Mr Peter Joseph Russo, PA
	2545 W Hammer Ln, Stockton, CA 95209-2839
	(209) 957-7050
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Peter Joseph Russo
Gender	Male
Speciality	Physician Assistant
Experience	26 Years
Location	2545 W Hammer Ln, Stockton, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Peter Joseph Russo graduated from nursing school in 1998

NPI Data:

NPI Number: 1588729941
Provider Enumeration Date: 12/26/2006
Last Update Date: 04/10/2015

Medicare PECOS Information:

PECOS PAC ID: 4587822697
Enrollment ID: I20120221000580

Medical Identifiers

Medical identifiers for Mr Peter Joseph Russo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588729941	NPI	-	NPPES
CD069A	Other	CA	GROUP PTAN-GREATER MODESTO MEDICAL SURGICAL ASSOCIATES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	PA14699 (California)	Secondary
363A00000X	Physician Assistant	PA14699 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sutter Valley Medical Foundation	9830094515	1919

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. Mr Peter Joseph 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
Mr Peter Joseph Russo, PA 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 521-6097	Mr Peter Joseph Russo, PA 2545 W Hammer Ln, Stockton, CA 95209-2839 Ph: (209) 957-7050

Reviews and Comments

Physician Assistant Nurses in Stockton, CA

Ms. Rose L Santos, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 415 W Benjamin Holt Dr, Stockton, CA 95207 Phone: 209-472-8400
Anjali Agrawal, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2531 N California St, Stockton, CA 95204 Phone: 209-464-7738 Fax: 209-464-5142
Christophe Thomas Anslinger, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2488 N California St, Stockton, CA 95204 Phone: 209-948-3333
Michelle Lai, MPH, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 525 W Acacia St, Stockton, CA 95203 Phone: 209-944-5550
Czarinabelle Perez, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2626 N California St Ste B, Stockton, CA 95204 Phone: 209-466-2626
Mrs. Andrea Marissa Olivas, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1507 E March Ln Ste C, Stockton, CA 95210 Phone: 209-277-5052 Fax: 209-475-8146
Mrs. Sandra Robles-bonham, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 77 W. March Lane, Suite A, Stockton, CA 95207 Phone: 209-477-5552 Fax: 209-477-5553

Mr Peter Joseph Russo, PA - Medicare Physician Assistant in Stockton, CA