| Scott M Russo, DO | |
|
1215 E Michigan Ave, Lansing, MI 48912-1811 | |
| (517) 364-2223 | |
| (517) 364-3131 |
| Full Name | Scott M Russo |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 20 Years |
| Location | 1215 E Michigan Ave, Lansing, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245322023 | NPI | - | NPPES |
| 4929919 | Medicaid | MI | |
| 1245322023 | Other | MI | BLUE CROSS BLUE SHIELD |
| 200000002778 | Other | MI | PHP & PHPFC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 014959 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ascension St Mary's Hospital | Saginaw, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cep America Llc | 6608056171 | 732 |
| Entity Name | Sparrow Clinton Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396827952 PECOS PAC ID: 5395658850 Enrollment ID: O20031111000063 |
| Entity Name | Degara App Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265976971 PECOS PAC ID: 7618251398 Enrollment ID: O20170223001941 |
| Entity Name | Cep America Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912687328 PECOS PAC ID: 6608056171 Enrollment ID: O20230815000906 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott M Russo, DO Po Box 634280, Cincinnati, OH 45263-0041 Ph: (517) 336-8080 | Scott M Russo, DO 1215 E Michigan Ave, Lansing, MI 48912-1811 Ph: (517) 364-2223 |
Ronald L Rhule, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-364-2223 | |
Dr. Brett Justin Gerstner, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-364-1000 | |
Eli Spencer Schriever, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-364-2583 | |
Dr. Henry Carl Nygren, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 Prudden St, Apt 138, Lansing, MI 48906 Phone: 404-625-5261 | |
Dr. Tara Jameson Drew, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-364-2746 | |
Andrew Taylor, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-364-1000 | |
Katherine Stephens, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1215 E Michigan Ave, Lansing, MI 48912 Phone: 517-364-1000 |