Rocco Russo, MD is a medicare enrolled "Family Medicine" physician in Highland Falls, New York. His current practice location is
127 Main St, Highland Falls, New York. You can reach out to his office (for appointments etc.) via phone at
(845) 446-4076.
Rocco Russo is licensed to practice in New York (license number 259143) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174664858.
Physician's Profile
| Full Name | Rocco Russo |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 127 Main St, Highland Falls, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174664858
- Provider Enumeration Date: 02/08/2007
- Last Update Date: 12/10/2018
Medicare PECOS Information:
- PECOS PAC ID: 7911092655
- Enrollment ID: I20070926000948
Medical Identifiers
Medical identifiers for Rocco Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174664858 | NPI | - | NPPES |
| 010035913CT | Other | CT | ANTHEM |
| 03421327 | Medicaid | NY | |
| 1174664858 | Medicaid | CT | |
| 2V9661 | Other | CT | HEALTHNET |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 035913 (Connecticut) | Secondary |
| 207Q00000X | Family Medicine | 259143 (New York) | Primary |
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. Rocco Russo allows following entities to bill medicare on his behalf.
| Entity Name | Community Health And Wellness Center Of Greater Torrington Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356318091
PECOS PAC ID: 2365436847
Enrollment ID: O20041013001025 |
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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. Rocco 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 |
|---|
Rocco Russo, MD
2570 Route 9w Ste 10,
Cornwall, NY 12518-1370
Ph: (845) 220-3100 | Rocco Russo, MD
127 Main St,
Highland Falls, NY 10928-4019
Ph: (845) 446-4076 |
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