Gordon J Russo, MD in Gretna, LA - Medicare Dermatology

Gordon J Russo, MD is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Gretna, Louisiana. He went to Louisiana State University School Of Medicine In New Orleans and graduated in 1979 and has 45 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Westside Dermatology Associates A Professional Medical Corporation and his current practice location is 120 Meadowcrest St, Suite 160, Gretna, Louisiana. You can reach out to his office (for appointments etc.) via phone at (504) 391-7620.

Gordon J Russo is licensed to practice in Louisiana (license number 015208) 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 1083612469.

Contact Information

	Gordon J Russo, MD
	120 Meadowcrest St, Suite 160, Gretna, LA 70056-5255
	(504) 391-7620
	(504) 391-7524

Map and Direction

Physician's Profile

Full Name	Gordon J Russo
Gender	Male
Speciality	Dermatology
Experience	45 Years
Location	120 Meadowcrest St, Gretna, 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.

Medical Education and Training:

Gordon J Russo attended and graduated from Louisiana State University School Of Medicine In New Orleans in 1979

NPI Data:

NPI Number: 1083612469
Provider Enumeration Date: 07/11/2005
Last Update Date: 02/03/2010

Medicare PECOS Information:

PECOS PAC ID: 8527088939
Enrollment ID: I20100810000014

Medical Identifiers

Medical identifiers for Gordon J Russo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083612469	NPI	-	NPPES
1329495	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207NS0135X	Dermatology - Procedural Dermatology	015208 (Louisiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Westside Dermatology Associates A Professional Medical Corporation	0446270854	3

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. Gordon J Russo allows following entities to bill medicare on his behalf.

Entity Name	Westside Dermatology Associates A Professional Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588725808 PECOS PAC ID: 0446270854 Enrollment ID: O20051130000674

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. Gordon J 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
Gordon J Russo, MD 3725 Lake Michael Ct, Gretna, LA 70056-8326 Ph: () -	Gordon J Russo, MD 120 Meadowcrest St, Suite 160, Gretna, LA 70056-5255 Ph: (504) 391-7620

Reviews and Comments

Dermatology Doctors in Gretna, LA

Daniel A Marshall Jr., MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 120 Meadowcrest St, Suite 160, Gretna, LA 70056 Phone: 504-391-7620 Fax: 504-391-7524
Glenn Gerard Russo, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 120 Meadowcrest St, Suite 160, Gretna, LA 70056 Phone: 504-391-7620 Fax: 504-391-7624

Gordon J Russo, MD - Medicare Dermatology in Gretna, LA