Russom Desta, MD in Everett, WA - Medicare Internal Medicine

Russom Desta, MD is a medicare enrolled "Internal Medicine" physician in Everett, Washington. His current practice location is 3901 Hoyt Ave, Everett, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 261-4076.

Russom Desta is licensed to practice in Washington (license number MD61579314) 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 1245971209.

Contact Information

	Russom Desta, MD
	3901 Hoyt Ave, Everett, WA 98201-4918
	(425) 261-4076
	(425) 261-4078

Map and Direction

Physician's Profile

Full Name	Russom Desta
Gender	Male
Speciality	Internal Medicine
Location	3901 Hoyt Ave, Everett, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245971209
Provider Enumeration Date: 04/05/2022
Last Update Date: 09/23/2025

Medicare PECOS Information:

PECOS PAC ID: 4486041308
Enrollment ID: I20220425000432

Medical Identifiers

Medical identifiers for Russom Desta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245971209	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD61579314 (Washington)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Russom Desta 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
Russom Desta, MD Po Box 5127, Everett, WA 98206-5127 Ph: (206) 860-5414	Russom Desta, MD 3901 Hoyt Ave, Everett, WA 98201-4918 Ph: (425) 261-4076

Reviews and Comments

Internal Medicine Doctors in Everett, WA

Timothy Edward Mcnamara, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 N Broadway, Suite A3, Everett, WA 98201 Phone: 425-317-0300 Fax: 425-317-0303
Dr. Kurt R. Duffens, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 3927 Rucker Ave, Everett, WA 98201 Phone: 425-339-5422 Fax: 425-339-5444
Dr. Madhurina Roy, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 9505 19th Ave Se, Ste 100, Everett, WA 98208 Phone: 425-225-6721 Fax: 425-225-6725
Dr. Kavyashri Kodlipet Jagadeesh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1330 Rockefeller Ave Ste 210, Everett, WA 98201 Phone: 425-261-4940 Fax: 425-261-4932
Amy D Nelson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2930 Maple St, Everett, WA 98201 Phone: 425-261-1500 Fax: 425-261-1515
Ya-lan Huang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 12728 19th Ave Se Ste 300, Everett, WA 98208 Phone: 425-252-6801 Fax: 425-258-1944
Mahesh Mulumudi, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3901 Hoyt Ave, Everett, WA 98201 Phone: 425-339-5411

Russom Desta, MD - Medicare Internal Medicine in Everett, WA