Gregory K Russo, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Stratford, Connecticut. He went to Ponce School Of Medicine and graduated in 2001 and has 25 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Somc Medical Care Foundation, Inc., Specialty Imaging Associates Llc, Danbury Radiological Associates, Pc, Premier Imaging Llc and his current practice location is
2909 Main St, Robert D. Russo, M.d. & Associates Radiology, P.c., Stratford, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 683-4570.
Gregory K Russo is licensed to practice in Connecticut (license number 043621) 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 1770502361.
Physician's Profile
| Full Name | Gregory K Russo |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 25 Years |
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| Location | 2909 Main St, Stratford, Connecticut |
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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:
- Gregory K Russo attended and graduated from Ponce School Of Medicine in 2001
NPI Data:
- NPI Number: 1770502361
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 05/19/2026
Medicare PECOS Information:
- PECOS PAC ID: 3678577970
- Enrollment ID: I20221228002247
Medical Identifiers
Medical identifiers for Gregory K Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770502361 | NPI | - | NPPES |
| 001436212 | Medicaid | CT | |
| 010043621 | Other | CT | ANTHEM BC/BS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 043621 (Connecticut) | Primary |
| 2085R0202X | Radiology - Diagnostic Radiology | 112031 (Georgia) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 0101289406 (Virginia) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Somc Medical Care Foundation, Inc. | 9436061645 | 388 |
| Specialty Imaging Associates Llc | 6406897354 | 10 |
| Danbury Radiological Associates, Pc | 2264408533 | 35 |
| Premier Imaging Llc | 8820403637 | 42 |
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. Gregory K Russo allows following entities to bill medicare on his behalf.
| Entity Name | Somc Medical Care Foundation, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457467227
PECOS PAC ID: 9436061645
Enrollment ID: O20031125000203 |
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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. Gregory K 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 |
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Gregory K Russo, MD
Po Box 6128, Robert D. Russo, M.d. & Associates Radiology, P.c.,
Bridgeport, CT 06606-0128
Ph: (203) 683-4570 | Gregory K Russo, MD
2909 Main St, Robert D. Russo, M.d. & Associates Radiology, P.c.,
Stratford, CT 06614-4960
Ph: (203) 683-4570 |
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