Thomas Matthew Russo, MD is a medicare enrolled "Anesthesiology" physician in New Hartford, New York. He went to University Of Louisville School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Faxton-st Lukes Healthcare and his current practice location is
1656 Champlin Ave, New Hartford, New York. You can reach out to his office (for appointments etc.) via phone at
(111) 111-1111.
Thomas Matthew Russo is licensed to practice in New York (license number 267850) 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 1720384332.
Physician's Profile
Full Name | Thomas Matthew Russo |
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Gender | Male |
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Speciality | Anesthesiology |
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Experience | 18 Years |
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Location | 1656 Champlin Ave, New Hartford, New York |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Thomas Matthew Russo attended and graduated from University Of Louisville School Of Medicine in 2006
NPI Data:
- NPI Number: 1720384332
- Provider Enumeration Date: 01/28/2011
- Last Update Date: 07/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 1355578675
- Enrollment ID: I20131212000794
Medical Identifiers
Medical identifiers for Thomas Matthew Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720384332 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 267850 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Faxton-st Lukes Healthcare | 2769380252 | 291 |
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. Thomas Matthew Russo allows following entities to bill medicare on his behalf.
Entity Name | U Of R Anesthesiology Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609806488 PECOS PAC ID: 3476451105 Enrollment ID: O20031219000433 |
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Entity Name | Faxton-st Lukes Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433 |
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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. Thomas Matthew 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 |
Thomas Matthew Russo, MD 1656 Champlin Ave, New Hartford, NY 13413-1068 Ph: () - | Thomas Matthew Russo, MD 1656 Champlin Ave, New Hartford, NY 13413-1068 Ph: (111) 111-1111 |
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