Anthony P Russo Jr, DO is a medicare enrolled "Anesthesiology" physician in Wilmington, Ohio. His current practice location is
807 W Main St, Wilmington, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 382-1864.
Anthony P Russo Jr is licensed to practice in Iowa (license number 34007741R) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1558400242.
Physician's Profile
| Full Name | Anthony P Russo Jr |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 807 W Main St, Wilmington, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1558400242
- Provider Enumeration Date: 02/06/2007
- Last Update Date: 03/04/2013
Medicare PECOS Information:
- PECOS PAC ID: 8820991797
- Enrollment ID: I20080303000277
Medical Identifiers
Medical identifiers for Anthony P Russo Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558400242 | NPI | - | NPPES |
| 0589411 | Medicaid | OH | |
| 000000238391 | Other | OH | ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 34007741R (Iowa) | 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. Anthony P Russo Jr allows following entities to bill medicare on his behalf.
| Entity Name | American Anesthesiology Associates Of Georgia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528068673 PECOS PAC ID: 7618934779 Enrollment ID: O20041210000442 |
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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. Anthony P 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 |
Anthony P Russo Jr, DO 6605 Abercorn St, Suite 108, Savannah, GA 31405-5815 Ph: (912) 355-7214 | Anthony P Russo Jr, DO 807 W Main St, Wilmington, OH 45177-0868 Ph: (937) 382-1864 |
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