Deborah Marie Russo, is a
Licensed Practical Nurse based in Bernhards Bay, New York. Deborah Marie Russo is licensed to practice in New York (license number 278037-1) and her current practice location is
59 Winona Park Dr, Bernhards Bay, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 675-8036.
NPI number for Deborah Marie Russo is 1427258748 and her current mailing address is 59 Winona Park Dr, Bernhards Bay, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427258748.
Provider's Profile
| Full Name | Deborah Marie Russo |
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| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 59 Winona Park Dr, Bernhards Bay, 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: 1427258748
- Provider Enumeration Date: 07/24/2007
- Last Update Date: 07/24/2007
Medical Identifiers
Medical identifiers for Deborah Marie Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427258748 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 164W00000X | Licensed Practical Nurse | 278037-1 (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. Deborah Marie 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 |
|---|
Deborah Marie Russo,
59 Winona Park Dr,
Bernhards Bay, NY 13028-3100
Ph: () - | Deborah Marie Russo,
59 Winona Park Dr,
Bernhards Bay, NY 13028-3100
Ph: (315) 675-8036 |
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