Sara Russo, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Sunrise, Florida. Her current practice location is
7800 W Oakland Park Blvd Ste 116, Sunrise, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 742-0306.
Sara Russo is licensed to practice in Florida (license number ME168072) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659991628.
Physician's Profile
| Full Name | Sara Russo |
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| Gender | Female |
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| Speciality | Dermatology - Mohs-micrographic Surgery |
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| Location | 7800 W Oakland Park Blvd Ste 116, Sunrise, Florida |
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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: 1659991628
- Provider Enumeration Date: 04/20/2020
- Last Update Date: 09/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 1153730460
- Enrollment ID: I20250516002072
Medical Identifiers
Medical identifiers for Sara Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659991628 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ND0101X | Dermatology - Mohs-micrographic Surgery | ME168072 (Florida) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | ME168072 (Florida) | Secondary |
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. Sara Russo allows following entities to bill medicare on her behalf.
| Entity Name | Skin And Cancer Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427017292
PECOS PAC ID: 1759284847
Enrollment ID: O20040128000060 |
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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. Sara 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 |
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Sara Russo, MD
7800 W Oakland Park Blvd Ste 116,
Sunrise, FL 33351-1123
Ph: (954) 742-0306 | Sara Russo, MD
7800 W Oakland Park Blvd Ste 116,
Sunrise, FL 33351-1123
Ph: (954) 742-0306 |
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