Martin T Russo Jr, DO in Grand Haven, MI - Medicare Family Practice

Martin T Russo Jr, DO is a medicare enrolled "Family Medicine" physician in Grand Haven, Michigan. He went to Midwestern University, Chicago College Of Osteopathic Med and graduated in 1978 and has 46 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mercy Physician Network and his current practice location is 1310 Wisconsin Ave Ste 103, Grand Haven, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 846-2640.

Martin T Russo Jr is licensed to practice in Michigan (license number 5101014183) 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 1508876236.

Contact Information

	Martin T Russo Jr, DO
	1310 Wisconsin Ave Ste 103, Grand Haven, MI 49417
	(616) 846-2640
	(616) 846-3110

Map and Direction

Physician's Profile

Full Name	Martin T Russo Jr
Gender	Male
Speciality	Family Practice
Experience	46 Years
Location	1310 Wisconsin Ave Ste 103, Grand Haven, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Martin T Russo Jr attended and graduated from Midwestern University, Chicago College Of Osteopathic Med in 1978

NPI Data:

NPI Number: 1508876236
Provider Enumeration Date: 08/08/2006
Last Update Date: 06/11/2018

Medicare PECOS Information:

PECOS PAC ID: 2264416718
Enrollment ID: I20040614001359

Medical Identifiers

Medical identifiers for Martin T Russo Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508876236	NPI	-	NPPES
4094275	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5101014183 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Health Hackley Campus	Muskegon, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Physician Network	8921996307	103

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. Martin T Russo Jr allows following entities to bill medicare on his behalf.

Entity Name	Mercy Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023056744 PECOS PAC ID: 8921996307 Enrollment ID: O20040308000687

Entity Name	Noch Physician Billing Company Llc
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1972550580 PECOS PAC ID: 8527078583 Enrollment ID: O20140401000168

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. Martin T Russo Jr 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
Martin T Russo Jr, DO 1310 Wisconsin Ave, Ste 101, Grand Haven, MI 49417-2472 Ph: (616) 847-5604	Martin T Russo Jr, DO 1310 Wisconsin Ave Ste 103, Grand Haven, MI 49417 Ph: (616) 846-2640

Reviews and Comments

Family Medicine Doctors in Grand Haven, MI

Lee Michael Sterenberg, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Park Ave, Grand Haven, MI 49417 Phone: 616-847-8700 Fax: 616-847-1049
Shawn Patrick Reidy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1310 Wisconsin St Ste 103, Grand Haven, MI 49417 Phone: 616-846-2640
Larry A Poel, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1310 Wisconsin Ave, Suite 301, Grand Haven, MI 49417 Phone: 616-847-1860 Fax: 616-844-4670
William H Dukes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1091 S Beacon Blvd, Grand Haven, MI 49417 Phone: 616-604-0096 Fax: 616-604-0095
Stanley Haegert, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1310 Wisconsin St, Suite 103, Grand Haven, MI 49417 Phone: 616-846-2640 Fax: 616-846-3110
Bradley A Martino, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1091 S Beacon Blvd, Grand Haven, MI 49417 Phone: 616-604-0096 Fax: 616-604-0095
Benjermen Alan Blackmer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6320

Martin T Russo Jr, DO - Medicare Family Practice in Grand Haven, MI