Mrs Corrine M Russo, PA-C in Columbia, MD - Medicare Physician Assistant

Mrs Corrine M Russo, PA-C is a medicare enrolled "Physician Assistant" in Columbia, Maryland. Her current practice location is 8860 Columbia 100 Pkwy Ste 400, Columbia, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 964-8346.

Mrs Corrine M 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 1093236945.

Contact Information

	Mrs Corrine M Russo, PA-C
	8860 Columbia 100 Pkwy Ste 400, Columbia, MD 21045
	(410) 964-8346
	(410) 964-4412

Map and Direction

Provider's Profile

Full Name	Mrs Corrine M Russo
Gender	Female
Speciality	Physician Assistant
Location	8860 Columbia 100 Pkwy Ste 400, Columbia, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093236945
Provider Enumeration Date: 06/30/2017
Last Update Date: 07/09/2018

Medicare PECOS Information:

PECOS PAC ID: 3375818560
Enrollment ID: I20171016000583

Medical Identifiers

Medical identifiers for Mrs Corrine M Russo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093236945	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. Mrs Corrine M 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
Mrs Corrine M Russo, PA-C 3700 College Ave Apt 402, Ellicott City, MD 21043-4641 Ph: (410) 294-7246	Mrs Corrine M Russo, PA-C 8860 Columbia 100 Pkwy Ste 400, Columbia, MD 21045 Ph: (410) 964-8346

Reviews and Comments

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Mrs Corrine M Russo, PA-C - Medicare Physician Assistant in Columbia, MD