Michael Jonathan Russo, DO - Medicare Family Practice in Springfield, IL

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Michael Jonathan Russo, DO is a medicare enrolled "Family Medicine" physician in Springfield, Illinois. He graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Memorial Physician Services, Advocate Health And Hospitals Corporation and his current practice location is 3132 Old Jacksonville Rd, Springfield, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 862-0800.

Michael Jonathan Russo is licensed to practice in Illinois (license number 036.158890) 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 1558822510.

Contact Information

Michael Jonathan Russo, DO
3132 Old Jacksonville Rd,
Springfield, IL 62704-7400
(217) 862-0800
(217) 862-0871

Map and Direction




Physician's Profile

Full NameMichael Jonathan Russo
GenderMale
SpecialityFamily Practice
Experience7 Years
Location3132 Old Jacksonville Rd, Springfield, Illinois
Accepts Medicare AssignmentsYes. 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 Jonathan Russo graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1558822510
  • Provider Enumeration Date: 03/30/2019
  • Last Update Date: 08/13/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5991187502
  • Enrollment ID: I20220728003467

Medical Identifiers

Medical identifiers for Michael Jonathan Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558822510NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 036.158890 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Home Health Care ServOakbrook, ILHome health agency
Advocate Illinois Masonic Medical CenterChicago, ILHospital
Memorial Medical CenterSpringfield, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memorial Physician Services9032005681161
Advocate Health And Hospitals Corporation78108009353081

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 Jonathan Russo allows following entities to bill medicare on his behalf.
Entity NameAdvocate Health and Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700824455
PECOS PAC ID: 7810800935
Enrollment ID: O20031106000064
Entity NameMemorial Physician Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174877930
PECOS PAC ID: 9032005681
Enrollment ID: O20040223000454

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 Jonathan 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 AddressPractice Location Address
Michael Jonathan Russo, DO
3132 Old Jacksonville Rd,
Springfield, IL 62704-7400

Ph: (217) 862-0800		Michael Jonathan Russo, DO
3132 Old Jacksonville Rd,
Springfield, IL 62704-7400

Ph: (217) 862-0800

Reviews and Comments


Family Medicine Doctors in Springfield, IL

Dr. Kaitlin Delaney Henry, M.D.
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Kathryn D Viotto, DO
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Phone: 217-588-2600    Fax: 217-862-0904
Mark T. Mckay, M.D.
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Mrs. Lacey Dively Moy, MD
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Practice Location: 3220 Atlanta St, Springfield, IL 62707
Phone: 217-588-7400    Fax: 217-588-7439
Dr. Hari Iyengar, MD
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Dr. Jamie Wallman, MD
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Dr. Joseph Douglas Wright, DO
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Practice Location: 520 N 4th St, Springfield, IL 62702
Phone: 217-757-8197    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.