| Michael G Russo Md A Professionsl Llc | |
|
1111 Medical Center Blvd Suite S 555 Marrero LA 70072-3151 | |
| (504) 349-6808 | |
| (504) 367-8579 |
| Full Name | Michael G Russo Md A Professionsl Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1111 Medical Center Blvd, Marrero, Louisiana |
| Authorized Official Name and Position | Michael G Russo (PHYSICIAN) |
| Authorized Official Contact | 5043496808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael G Russo Md A Professionsl Llc 1111 Medical Center Blvd Suite S 555 Marrero LA 70072-3151 Ph: (504) 349-6808 | Michael G Russo Md A Professionsl Llc 1111 Medical Center Blvd Suite S 555 Marrero LA 70072-3151 Ph: (504) 349-6808 |
| NPI Number | 1710146808 |
|---|---|
| Provider Enumeration Date | 06/04/2008 |
| Last Update Date | 01/27/2009 |
| Medicare PECOS PAC ID | 9830260694 |
|---|---|
| Medicare Enrollment ID | O20080623000049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710146808 | NPI | - | NPPES |
| 1347761 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD09346R (Louisiana) | Primary |
| Provider Name | Michael G Russo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194887125 PECOS PAC ID: 9830148246 Enrollment ID: I20050112000899 |
| Provider Name | Denis J Lockler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083617526 PECOS PAC ID: 9739193491 Enrollment ID: I20060201000709 |
| Provider Name | Joann Norman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669651196 PECOS PAC ID: 9537257795 Enrollment ID: I20071121000539 |
Women's Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6000 Westbank Expy, Marrero, LA 70072 Phone: 504-341-4000 | |
Access Health Louisiana Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5417 Ehret Rd, Marrero, LA 70072 Phone: 504-575-3712 | |
Ochsner Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 824 Avenue F, Marrero, LA 70072 Phone: 504-341-1603 Fax: 504-341-1641 | |
Family Doctors Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1111 Medical Center Blvd, Suite S850, Marrero, LA 70072 Phone: 504-349-6450 Fax: 504-349-6454 | |
Auc Healthcare Solutions, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1050 Medical Center Blvd, Marrero, LA 70072 Phone: 504-432-3207 Fax: 504-617-7408 | |
The Mastectomy Boutique Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4700 Wichers Dr, Suite 201, Marrero, LA 70072 Phone: 504-758-4220 | |
Jefferson Community Health Care Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1855 Ames Blvd, Marrero, LA 70072 Phone: 504-328-0488 Fax: 504-328-0899 |