Ms Theresa Marie Russo, NP - Medicare Nurse Practitioner in West Hollywood, CA

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Ms Theresa Marie Russo, NP is a medicare enrolled "Nurse Practitioner" in West Hollywood, California. She graduated from nursing school in 1996 and has 28 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northeast Health Services Llc and her current practice location is 7531 Santa Monica Blvd Ste 101a, West Hollywood, California. You can reach out to her office (for appointments etc.) via phone at (323) 988-5900.

Ms Theresa Marie Russo is licensed to practice in Massachusetts (license number 227170) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972904506.

Contact Information

Ms Theresa Marie Russo, NP
7531 Santa Monica Blvd Ste 101a,
West Hollywood, CA 90046-6481
(323) 988-5900
(323) 400-4238

Map and Direction




Provider's Profile

Full NameMs Theresa Marie Russo
GenderFemale
SpecialityNurse Practitioner
Experience28 Years
Location7531 Santa Monica Blvd Ste 101a, West Hollywood, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Theresa Marie Russo graduated from nursing school in 1996
  NPI Data:
  • NPI Number: 1972904506
  • Provider Enumeration Date: 09/15/2014
  • Last Update Date: 02/25/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1153649470
  • Enrollment ID: I20150417000728

Medical Identifiers

Medical identifiers for Ms Theresa Marie Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972904506NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 227170 (Massachusetts)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeast Health Services Llc6901866706210

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. Ms Theresa Marie Russo allows following entities to bill medicare on her behalf.
Entity NameMedical Affiliates Of Cape Cod Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770534927
PECOS PAC ID: 3577471564
Enrollment ID: O20040510001010
Entity NameNortheast Health Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225067481
PECOS PAC ID: 6901866706
Enrollment ID: O20041015000643
Entity NameTotal Wellness Centers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770816506
PECOS PAC ID: 2860536919
Enrollment ID: O20100628000153

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. Ms Theresa Marie 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 AddressPractice Location Address
Ms Theresa Marie Russo, NP
7531 Santa Monica Blvd Ste 101a,
West Hollywood, CA 90046-6481

Ph: (323) 988-5900		Ms Theresa Marie Russo, NP
7531 Santa Monica Blvd Ste 101a,
West Hollywood, CA 90046-6481

Ph: (323) 988-5900

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.