Anthony Russo, is a medicare enrolled "General Practice" physician in Pflugerville, Texas. His current practice location is
821 Grand Avenue Pkwy Ste 200, Pflugerville, Texas. You can reach out to his office (for appointments etc.) via phone at
(512) 251-5586.
Anthony Russo is licensed to practice in Texas (license number G0039) 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 1700860400.
Physician's Profile
| Full Name | Anthony Russo |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 821 Grand Avenue Pkwy Ste 200, Pflugerville, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Anthony Russo attended and graduated from in
NPI Data:
- NPI Number: 1700860400
- Provider Enumeration Date: 12/06/2005
- Last Update Date: 07/30/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Anthony Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700860400 | NPI | - | NPPES |
| 00B91R | Other | TX | BLUE CROSS BLUE SHIELD TX |
| G0039 | Other | TX | STATE MEDICAL LICENSE |
| 115675 | Other | TX | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | G0039 (Texas) | 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. Anthony 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 Address | Practice Location Address |
|---|
Anthony Russo,
821 Grand Avenue Pkwy Ste 200,
Pflugerville, TX 78660-2197
Ph: (512) 251-5586 | Anthony Russo,
821 Grand Avenue Pkwy Ste 200,
Pflugerville, TX 78660-2197
Ph: (512) 251-5586 |
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