| Dr James Kyle Russo Ii, MD | |
|
120 Rue Louis Xiv, Lafayette, LA 70508-5739 | |
| (337) 769-7779 | |
| (337) 769-7788 |
| Full Name | Dr James Kyle Russo Ii |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 17 Years |
| Location | 120 Rue Louis Xiv, Lafayette, Louisiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376700591 | NPI | - | NPPES |
| 1063363 | Medicaid | LA | |
| MD.206162 | Other | LA | LOUISIANA MEDICAL LICENSE |
| 81183 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 13254 (North Dakota) | Secondary |
| 2085R0001X | Radiology - Radiation Oncology | MD.206162 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Our Lady Of Lourdes Regional Medical Center, Inc | Lafayette, LA | Hospital |
| Lafayette General Medical Center | Lafayette, LA | Hospital |
| Abrom Kaplan Memorial Hospital | Kaplan, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Urology Llc | 5597833772 | 27 |
| Entity Name | Ochsner Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
| Entity Name | Southern Urology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740441955 PECOS PAC ID: 5597833772 Enrollment ID: O20081002000001 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr James Kyle Russo Ii, MD 120 Rue Louis Xiv, Lafayette, LA 70508-5739 Ph: (337) 769-7779 | Dr James Kyle Russo Ii, MD 120 Rue Louis Xiv, Lafayette, LA 70508-5739 Ph: (337) 769-7779 |
Dr. Rodney Severin Florek, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4801 Ambassador Caffery Parkway, Lourdes Rmc, Lafayette, LA 70508 Phone: 337-470-2180 Fax: 337-470-2180 | |
Dr. Julian J. Krawczyk, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4809 Ambassador Caffery Pkwy, Suite 100, Lafayette, LA 70508 Phone: 337-769-8660 Fax: 337-769-8661 | |
Dr. Robert C. Osborne, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-261-7970 | |
Dr. Kyle Jacob Degeyter, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508 Phone: 337-470-2000 | |
Mary Maitland Deland, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1507 Alice Dr, Lafayette, LA 70503 Phone: 337-989-0812 Fax: 337-284-3799 | |
Dr. Mian A. Ibrahim, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1214 Coolidge Blvd, Lafayette, LA 70503 Phone: 337-261-7970 | |
Dr. John Frederick Anderson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4809 Ambassador Caffery Pkwy, Suite 100, Lafayette, LA 70508 Phone: 337-769-8660 Fax: 337-769-8661 |