Kirsten Denise Russo, PHD in Baltimore, MD - Medicare Psychologist Provider

Kirsten Denise Russo, PHD is a medicare enrolled "Psychologist" provider in Baltimore, Maryland. Her current practice location is 707 N Broadway, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 923-2900.

Kirsten Denise 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 1790344760.

Contact Information

	Kirsten Denise Russo, PHD
	707 N Broadway, Baltimore, MD 21205-1888
	(443) 923-2900
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kirsten Denise Russo
Gender	Female
Speciality	Psychologist
Location	707 N Broadway, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790344760
Provider Enumeration Date: 06/12/2019
Last Update Date: 06/10/2023

Medicare PECOS Information:

PECOS PAC ID: 2062861974
Enrollment ID: I20231218000219

Medical Identifiers

Medical identifiers for Kirsten Denise Russo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790344760	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	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. Kirsten Denise Russo allows following entities to bill medicare on her behalf.

Entity Name	Kennedy Krieger Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871515783 PECOS PAC ID: 1759280597 Enrollment ID: O20031231000300

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. Kirsten Denise 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
Kirsten Denise Russo, PHD 707 N Broadway, Baltimore, MD 21205-1832 Ph: (443) 923-2900	Kirsten Denise Russo, PHD 707 N Broadway, Baltimore, MD 21205-1888 Ph: (443) 923-2900

Reviews and Comments

Psychologist in Baltimore, MD

Dr. Lois Schuster, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10 Red Cedar Ct, Baltimore, MD 21208 Phone: 410-486-1190
Dr. Stephanie A Lee, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 707 N Broadway, Kennedy Krieger Institute, Baltimore, MD 21205 Phone: 443-923-9400 Fax: 443-923-9405
Tiffany Wen-ting Lin, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 707 N Broadway, Baltimore, MD 21205 Phone: 443-923-9200 Fax: 443-923-1895
Eshauna Padilla, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11 Terron Ct, Baltimore, MD 21234 Phone: 443-221-5700
Rachel Aaron, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 600 N Wolfe Street, Meyer 163, Baltimore, MD 21287 Phone: 410-614-4030 Fax: 410-614-4033
Dr. Terri Julian, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 31 Hopkins Plz, G045, Baltimore, MD 21201 Phone: 410-637-4749
Dr. David Gary Epstein, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6525 N Charles St, Gibson Bldg., Ste. 142, Baltimore, MD 21204 Phone: 410-828-4846 Fax: 410-938-4444

Kirsten Denise Russo, PHD - Medicare Psychologist in Baltimore, MD