Dr John Baptist Russo, MD is a
Preventive Medicine - Public Health & General Preventive Medicine physician based in San Pedro, California. Dr John Baptist Russo is licensed to practice in California (license number A39364) and his current practice location is 593 W 6th St, San Pedro, California. He can be reached at his office (for appointments etc.) via phone at
(310) 547-0202.
NPI number for Dr John Baptist Russo is 1013120286 and his current mailing address is 593 W 6th St, San Pedro, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013120286.
Physician's Profile
| Full Name | Dr John Baptist Russo |
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| Gender | Male |
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| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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| Location | 593 W 6th St, San Pedro, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1013120286
- Provider Enumeration Date: 05/07/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr John Baptist Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013120286 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | A39364 (California) | 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. Dr John Baptist 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 |
|---|
Dr John Baptist Russo, MD
593 W 6th St,
San Pedro, CA 90731-2521
Ph: (310) 547-0202 | Dr John Baptist Russo, MD
593 W 6th St,
San Pedro, CA 90731-2521
Ph: (310) 547-0202 |
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