| Jonathan Matt Russo, MD | |
|
47 Obery St, Suite 201, Plymouth, MA 02360-2229 | |
| (508) 747-1560 | |
| (508) 747-5155 |
| Full Name | Jonathan Matt Russo |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 45 Years |
| Location | 47 Obery St, Plymouth, Massachusetts |
| 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 |
|---|---|---|---|
| 1184681892 | NPI | - | NPPES |
| 3020835 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 49964 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beth Israel Deaconess Hospital Plymouth | Plymouth, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jordan Physician Associates Inc | 1254321086 | 153 |
| Entity Name | Jordan Physician Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538145131 PECOS PAC ID: 1254321086 Enrollment ID: O20040514000167 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Matt Russo, MD 47 Obery St, Suite 201, Plymouth, MA 02360 Ph: (508) 747-1560 | Jonathan Matt Russo, MD 47 Obery St, Suite 201, Plymouth, MA 02360-2229 Ph: (508) 747-1560 |
Gregory Joseph Robke, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 45 Resnik Road, Suite 302, Plymouth, MA 02360 Phone: 508-746-2696 Fax: 508-746-2695 | |
Dr. Irina Gurevich, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 275 Sandwich St, C/o Cathy Grey, Plymouth, MA 02360 Phone: 508-830-2390 Fax: 508-830-2399 | |
Maysaa El Zoghbi, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 275 Sandwich St, Plymouth, MA 02360 Phone: 508-746-2000 | |
Baigalmaa Enkhtaivan, Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 275 Sandwich St, Plymouth, MA 02360 Phone: 508-830-2679 Fax: 508-830-2702 | |
Senada Arabelovic, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 45 Resnik Rd, Plymouth, MA 02360 Phone: 508-746-5351 | |
Muhammad Mubarak, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 275 Sandwich St, Plymouth, MA 02360 Phone: 617-754-4677 | |
Katherine Murray Leisure, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 116 Court St, 3rd Floor, Plymouth, MA 02360 Phone: 508-746-2138 Fax: 508-746-2148 |