| Kimberly A Russo, CRNA | |
|
1600 Rockland Road, Wilmington, DE 19803-3607 | |
| (302) 651-4200 | |
| (302) 651-5365 |
| Full Name | Kimberly A Russo |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1600 Rockland Road, Wilmington, Delaware |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578500682 | NPI | - | NPPES |
| Entity Name | Shriners Hospitals for Children |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1659615706 PECOS PAC ID: 9133031933 Enrollment ID: O20140508000878 |
| Entity Name | Stc Pediatrics LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144864547 PECOS PAC ID: 7315372323 Enrollment ID: O20200122001254 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly A Russo, CRNA P.o. Box 191, Rockland, DE 19723-0191 Ph: (302) 651-4000 | Kimberly A Russo, CRNA 1600 Rockland Road, Wilmington, DE 19803-3607 Ph: (302) 651-4200 |
Christine Moses, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2006 Limestone Rd, Suite 5, Wilmington, DE 19808 Phone: 302-995-1860 Fax: 302-995-5421 |
Mr. Larry Heredia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Rockland Road, Wilmington, DE 19803 Phone: 302-651-4200 Fax: 302-651-5365 |
Ms. Melinda S. Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Rockland Rd, Nemours Dupont Pediatrics, Wilmington, DE 19803 Phone: 302-651-4200 Fax: 302-651-5365 |
Ms. Carolyn R Sweeney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1600 Rockland Road, Wilmington, DE 19803 Phone: 302-651-4200 Fax: 302-651-5365 |
William G Devece, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N. Clayton St., 4th Floor, Wilmington, DE 19805 Phone: 302-421-4330 Fax: 302-421-4331 |
Martha Dawn Turner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 Kirkwood Hwy, Wilmington, DE 19805 Phone: 302-994-2511 |
Mrs. Diane Biggers Wysock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 N Clayton St, 3rd Floor, Wilmington, DE 19805 Phone: 302-421-4330 Fax: 302-421-4331 |