Victoria Russo, PA is a medicare enrolled "Physician Assistant" in Port Monmouth, New Jersey. Her current practice location is
363 State Route 36, Port Monmouth, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 471-0400.
Victoria 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 1508449026.
Provider's Profile
Full Name | Victoria Russo |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 363 State Route 36, Port Monmouth, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508449026
- Provider Enumeration Date: 05/03/2021
- Last Update Date: 10/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830583269
- Enrollment ID: I20220301002796
Medical Identifiers
Medical identifiers for Victoria Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508449026 | 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. Victoria 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 |
Victoria Russo, PA Po Box 8519, Red Bank, NJ 07701-8519 Ph: (732) 460-9840 | Victoria Russo, PA 363 State Route 36, Port Monmouth, NJ 07758-1359 Ph: (732) 471-0400 |
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