Mr Sam Dominick Russo, MPAS in New York, NY - Medicare Physician Assistant

Mr Sam Dominick Russo, MPAS is a medicare enrolled "Physician Assistant - Medical" in New York, New York. His current practice location is 650 W 168th St, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 305-7367.

Mr Sam Dominick Russo is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164823787.

Contact Information

	Mr Sam Dominick Russo, MPAS
	650 W 168th St, New York, NY 10032-3702
	(212) 305-7367
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Sam Dominick Russo
Gender	Male
Speciality	Physician Assistant - Medical
Location	650 W 168th 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: 1164823787
Provider Enumeration Date: 09/15/2014
Last Update Date: 09/15/2014

Medicare PECOS Information:

PECOS PAC ID: 9739480153
Enrollment ID: I20171207002322

Medical Identifiers

Medical identifiers for Mr Sam Dominick Russo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164823787	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	(* (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. Mr Sam Dominick 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 Sam Dominick Russo, MPAS 3632 Wildwood St, Yorktown Heights, NY 10598-1129 Ph: (914) 582-8342	Mr Sam Dominick Russo, MPAS 650 W 168th St, New York, NY 10032-3702 Ph: (212) 305-7367

Reviews and Comments

Physician Assistant Nurses in New York, NY

Mr. Martin Haynes Nicol Sr., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2367-69 2nd Ave, New York, NY 10035 Phone: 212-876-2300 Fax: 212-369-8209
Mrs. Rachel T. Freeman, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 160 E 53rd St, 3rd Floor, New York, NY 10022 Phone: 212-610-0067
Geraldine Deguzman-javier, RPAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16th St. And 1st Ave., New York, NY 10003 Phone: 212-420-2121
Allison C. Santhouse, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 115 E 57th St, Suite 710, New York, NY 10022 Phone: 212-750-8900 Fax: 908-281-7796
Sarah E. Mccord, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 535 E 70th St, New York, NY 10021 Phone: 212-606-1585 Fax: 917-260-3185
Miss Sharona Deborah Kashimallak, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 462 1st Ave, New York, NY 10016 Phone: 516-578-9951
Rena Dymersky, RPA-C, MS Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Gustave L Levy Pl, New York, NY 10029 Phone: 212-241-6500

Mr Sam Dominick Russo, MPAS - Medicare Physician Assistant in New York, NY