Mr Thomas Anthony Russo, PA is a medicare enrolled "Physician Assistant - Medical" in Coxsackie, New York. He graduated from nursing school in 1992 and has 32 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Columbia Memorial Regional Medical Pllc, Columbia Memorial Hospital and his current practice location is
9 Law St, Coxsackie, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 731-2120.
Mr Thomas Anthony Russo is licensed to practice in New York (license number 004434-1) 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 1902804412.
Provider's Profile
| Full Name | Mr Thomas Anthony Russo |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 32 Years |
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| Location | 9 Law St, Coxsackie, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Thomas Anthony Russo graduated from nursing school in 1992
NPI Data:
- NPI Number: 1902804412
- Provider Enumeration Date: 07/08/2005
- Last Update Date: 02/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 8426068313
- Enrollment ID: I20060421000037
Medical Identifiers
Medical identifiers for Mr Thomas Anthony Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902804412 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 004434-1 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Columbia Memorial Regional Medical Pllc | 2567865447 | 8 |
| Columbia Memorial Hospital | 5092709410 | 183 |
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 Thomas Anthony 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 Thomas Anthony Russo, PA
9 Law St,
Coxsackie, NY 12192
Ph: (518) 731-2120 | Mr Thomas Anthony Russo, PA
9 Law St,
Coxsackie, NY 12192
Ph: (518) 731-2120 |
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