Mrs Kelly T Russo, is a
Pharmacist based in Marcellus, New York. Mrs Kelly T Russo is licensed to practice in New York (license number 047537) and her current practice location is
11 E Main St, Marcellus, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 673-2410.
NPI number for Mrs Kelly T Russo is 1326362815 and her current mailing address is 11 E Main St, Marcellus, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326362815.
Healthcare Provider's Profile
| Full Name | Mrs Kelly T Russo |
|---|
| Gender | Female |
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| Speciality | Pharmacist |
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| Location | 11 E Main St, Marcellus, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1326362815
- Provider Enumeration Date: 03/26/2010
- Last Update Date: 03/26/2010
Medical Identifiers
Medical identifiers for Mrs Kelly T Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326362815 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | 047537 (New York) | 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 Kelly T Russo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Kelly T Russo,
11 E Main St,
Marcellus, NY 13108-1224
Ph: (315) 673-2410 | Mrs Kelly T Russo,
11 E Main St,
Marcellus, NY 13108-1224
Ph: (315) 673-2410 |
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