Dr Russell Joseph Mongiovi, DPM is a medicare enrolled "Podiatrist - Sports Medicine" provider in Malta, New York. He went to Kent State University College Of Podiatric Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Spa Podiatry, Pc and his current practice location is
3 Hemphill Pl, Malta, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 899-3338.
Dr Russell Joseph Mongiovi is licensed to practice in New York (license number N004782) 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 1104852136.
Healthcare Provider's Profile
| Full Name | Dr Russell Joseph Mongiovi |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 34 Years |
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| Location | 3 Hemphill Pl, Malta, 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:
- Dr Russell Joseph Mongiovi attended and graduated from Kent State University College Of Podiatric Medicine in 1990
NPI Data:
- NPI Number: 1104852136
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6709956899
- Enrollment ID: I20080602000217
Medical Identifiers
Medical identifiers for Dr Russell Joseph Mongiovi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104852136 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0000X | Podiatrist - Sports Medicine | N004782 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Spa Podiatry, Pc | 6800966995 | 2 |
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. Dr Russell Joseph Mongiovi allows following entities to bill medicare on his behalf.
| Provider Name | Spa Podiatry, Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1932371374
PECOS PAC ID: 6800966995
Enrollment ID: O20080602000192 |
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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. Dr Russell Joseph Mongiovi 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 |
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Dr Russell Joseph Mongiovi, DPM
3 Hemphill Pl,
Malta, NY 12020-4420
Ph: (518) 899-3338 | Dr Russell Joseph Mongiovi, DPM
3 Hemphill Pl,
Malta, NY 12020-4419
Ph: (518) 899-3338 |
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