| Annalise Russo, PA-C | |
|
1514 Jefferson Hwy, Jefferson, LA 70121-2429 | |
| (866) 624-7637 | |
| Not Available |
| Full Name | Annalise Russo |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 1514 Jefferson Hwy, Jefferson, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558034322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 328185 (Louisiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Belle Chasse Physician Services Llc | 9335379379 | 258 |
| Entity Name | Ochsner Clinic LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538151428 PECOS PAC ID: 8224933619 Enrollment ID: O20031126000513 |
| Entity Name | Belle Chasse Physician Services LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245653237 PECOS PAC ID: 9335379379 Enrollment ID: O20140313000496 |
| Entity Name | Belle Chasse Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851714075 PECOS PAC ID: 7113140070 Enrollment ID: O20140521001580 |
| Mailing Address | Practice Location Address |
|---|---|
| Annalise Russo, PA-C 1514 Jefferson Hwy, New Orleans, LA 70121-2429 Ph: (504) 842-4000 | Annalise Russo, PA-C 1514 Jefferson Hwy, Jefferson, LA 70121-2429 Ph: (866) 624-7637 |
Miss Heather Alexander, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-842-0434 |
Katherine Broussard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-579-6504 |
Jordan Owens, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 866-624-7637 |
Sydney Forsythe, MPAS Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-842-3000 |
Kelly Kincaide, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-842-3000 |
Varsha Castro Gusman, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1514 Jefferson Hwy, Jefferson, LA 70121 Phone: 504-975-8259 |
Rachel Abigail Mata, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1515 River Rd, Jefferson, LA 70121 Phone: 866-624-7637 |