Mrs Kathe Ann Russo, in Saint Charles, MO - Medicare Nurse Practitioner

Mrs Kathe Ann Russo, is a medicare enrolled "Nurse Practitioner - Acute Care" in Saint Charles, Missouri. Her current practice location is 2929 Westborough Dr, Saint Charles, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 485-8766.

Mrs Kathe Ann Russo is licensed to practice in Missouri (license number 2016009378) 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 1629424965.

Contact Information

	Mrs Kathe Ann Russo,
	2929 Westborough Dr, Saint Charles, MO 63301-4546
	(636) 485-8766
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kathe Ann Russo
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	2929 Westborough Dr, Saint Charles, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629424965
Provider Enumeration Date: 05/05/2016
Last Update Date: 11/10/2020

Medicare PECOS Information:

PECOS PAC ID: 7911294483
Enrollment ID: I20160927001661

Medical Identifiers

Medical identifiers for Mrs Kathe Ann Russo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629424965	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	2016009378 (Missouri)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kathe Ann Russo allows following entities to bill medicare on her behalf.

Entity Name	Ssm Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700966207 PECOS PAC ID: 6608776299 Enrollment ID: O20040729001034

Entity Name	Southeastern Emergency Services Of Memphis Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164454450 PECOS PAC ID: 8921912767 Enrollment ID: O20080108000151

Entity Name	Southeastern Physician Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20160809000235

Entity Name	Ipc Pac Healthcare Services Of Missouri Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326497587 PECOS PAC ID: 4587950589 Enrollment ID: O20160830002898

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 Kathe Ann 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 Kathe Ann Russo, Po Box 955534, Saint Louis, MO 63195-5534 Ph: () -	Mrs Kathe Ann Russo, 2929 Westborough Dr, Saint Charles, MO 63301-4546 Ph: (636) 485-8766

Reviews and Comments

Nurse Practitioner Nurses in Saint Charles, MO

Mrs. Kasandra May, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1794 Zumbehl Rd, Saint Charles, MO 63303 Phone: 636-947-1666
Kellie M Odonnell-stockton, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 711 Veterans Memorial Pkwy Ste 300, Saint Charles, MO 63303 Phone: 636-669-2350
Mrs. Susan Becker Leon, R.N., GNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1820 Zumbehl Rd Ste 120, Saint Charles, MO 63303 Phone: 636-947-2334
Christina Jeanette Gaut, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 1st Capitol Dr, Suite 301, Saint Charles, MO 63301 Phone: 636-669-3080
Mr. Michael Kevin Lemp, MSN, APN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2893 Veterans Memorial Pkwy, Saint Charles, MO 63303 Phone: 618-255-8174 Fax: 636-639-2368
Paige Spry, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2150 W Randolph St, Saint Charles, MO 63301 Phone: 888-256-3814
Matthew Thomas Webb, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 1st Capitol Dr Ste 401, Saint Charles, MO 63301 Phone: 636-669-2220

Mrs Kathe Ann Russo, - Medicare Nurse Practitioner in Saint Charles, MO