Tia Nicole Russo, is a
Student In An Organized Health Care Education/training Program based in Bakersfield, California. Tia Nicole Russo is licensed to practice in * (Not Available) (license number ) and her current practice location is
2525 N Chester Ave, Bakersfield, California. She can be reached at her office (for appointments etc.) via phone at
(661) 868-1840.
NPI number for Tia Nicole Russo is 1992433007 and her current mailing address is Po Box 1000, Bakersfield, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992433007.
Healthcare Provider's Profile
| Full Name | Tia Nicole Russo |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2525 N Chester Ave, Bakersfield, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992433007
- Provider Enumeration Date: 08/08/2022
- Last Update Date: 04/22/2025
Medical Identifiers
Medical identifiers for Tia Nicole Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992433007 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Tia Nicole 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 |
|---|
Tia Nicole Russo,
Po Box 1000,
Bakersfield, CA 93302-1000
Ph: (401) 743-1284 | Tia Nicole Russo,
2525 N Chester Ave,
Bakersfield, CA 93308-1770
Ph: (661) 868-1840 |
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