Michael Anthony Russo, MD in Fountain Valley, CA

Michael Anthony Russo, MD is a medicare enrolled "Surgery" physician in Fountain Valley, California. He went to Toledo Medical College and graduated in 2007 and has 17 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Leport Surgical Medical Corporation and his current practice location is 1811 Brookfurst St #5600, Fountain Valley, California. You can reach out to his office (for appointments etc.) via phone at (714) 861-4666.

Michael Anthony Russo is licensed to practice in California (license number A125016) 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 1700084381.

Contact Information

	Michael Anthony Russo, MD
	1811 Brookfurst St #5600, Fountain Valley, CA 92708-6728
	(714) 861-4666
	(714) 861-4682

Map and Direction

Physician's Profile

Full Name	Michael Anthony Russo
Gender	Male
Speciality	General Surgery
Experience	17 Years
Location	1811 Brookfurst St #5600, Fountain Valley, California
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:

Michael Anthony Russo attended and graduated from Toledo Medical College in 2007

NPI Data:

NPI Number: 1700084381
Provider Enumeration Date: 07/05/2007
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 8224276076
Enrollment ID: I20130606000219

Medical Identifiers

Medical identifiers for Michael Anthony Russo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700084381	NPI	-	NPPES
ASO2532199374	Other	NV	NV BOARD OF PHARM
LL1802	Other	NV	NV MEDICAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	Q1013 (Texas)	Secondary
208600000X	Surgery	A125016 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fountain Valley Regional Hospital & Medical Center	Fountain valley, CA	Hospital
Memorialcare Orange Coast Medical Center	Fountain valley, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Leport Surgical Medical Corporation	8123012515	4

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. Michael Anthony Russo allows following entities to bill medicare on his behalf.

Entity Name	Leport Surgical Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194940015 PECOS PAC ID: 8123012515 Enrollment ID: O20090720000015

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. Michael Anthony 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
Michael Anthony Russo, MD 1811 Brookfurst St #5600, Fountain Valley, CA 92708-6728 Ph: (714) 861-4666	Michael Anthony Russo, MD 1811 Brookfurst St #5600, Fountain Valley, CA 92708-6728 Ph: (714) 861-4666

Reviews and Comments

Surgery Doctors in Fountain Valley, CA

Quy V Le, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 18225 Brookhurst St Ste 6, Fountain Valley, CA 92708 Phone: 714-200-1499 Fax: 714-200-1497
Malcolm Sperling, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 9900 Talbert Ave, Suite 201, Fountain Valley, CA 92708 Phone: 714-965-2500 Fax: 714-965-2581
Dr. Christopher E Yi, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 18111 Brookhurst St Ste 5600, Fountain Valley, CA 92708 Phone: 714-273-5896
Kais Rona, Surgery Medicare: Accepting Medicare Assignments Practice Location: 18111 Brookhurst St Ste 5600, Fountain Valley, CA 92708 Phone: 714-861-4666 Fax: 714-861-4682
Dr. Parin Patel, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 18111 Brookhurst St, Fountain Valley, CA 92708 Phone: 714-732-9199 Fax: 714-845-0084
Dr. Rocco R. Tutela Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11100 Warner Ave Ste 258, Fountain Valley, CA 92708 Phone: 714-868-6066
Dr. Julio C Vega, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 11160 Warner Ave, 119, Fountain Valley, CA 92708 Phone: 714-850-1872 Fax: 714-850-1874

Michael Anthony Russo, MD - Medicare General Surgery in Fountain Valley, CA