Mr Joseph Ernest Russakis, CRNA in Fort Myers, FL - Medicare Nurse Anesthetist, Certified Registered

Mr Joseph Ernest Russakis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Myers, Florida. His current practice location is 3949 Evans Ave, Suite 102, Fort Myers, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 939-2622.

Mr Joseph Ernest Russakis is licensed to practice in Florida (license number APRN9170581) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336191741.

Contact Information

	Mr Joseph Ernest Russakis, CRNA
	3949 Evans Ave, Suite 102, Fort Myers, FL 33901-9335
	(239) 939-2622
	(239) 939-0151

Map and Direction

Provider's Profile

Full Name	Mr Joseph Ernest Russakis
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	3949 Evans Ave, Fort Myers, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336191741
Provider Enumeration Date: 05/16/2006
Last Update Date: 03/20/2023

Medicare PECOS Information:

PECOS PAC ID: 1456458124
Enrollment ID: I20070515000466

Medical Identifiers

Medical identifiers for Mr Joseph Ernest Russakis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336191741	NPI	-	NPPES
307512500	Medicaid	FL
G3940	Other		BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	APRN9170581 (Florida)	Primary

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. Mr Joseph Ernest Russakis allows following entities to bill medicare on his behalf.

Entity Name	Gulf-to-bay Anesthesiology Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720039746 PECOS PAC ID: 5092628156 Enrollment ID: O20031106000250

Entity Name	Moonlight Anesthesia, P.l.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033419791 PECOS PAC ID: 0547442758 Enrollment ID: O20110309000707

Entity Name	American Anesthesiology Services Of Florida Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508318387 PECOS PAC ID: 1850674540 Enrollment ID: O20170202001989

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. Mr Joseph Ernest Russakis 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
Mr Joseph Ernest Russakis, CRNA 3949 Evans Ave, Suite 102, Fort Myers, FL 33901-9335 Ph: (239) 939-2622	Mr Joseph Ernest Russakis, CRNA 3949 Evans Ave, Suite 102, Fort Myers, FL 33901-9335 Ph: (239) 939-2622

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Myers, FL

Kelly Alisa Zipko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4101 Evans Ave, Fort Myers, FL 33901 Phone: 239-939-3456 Fax: 239-790-2432
Ms. Jenise Lynn Wheeler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12511 World Plaza Ln, Fort Myers, FL 33907 Phone: 239-939-2622
Miranda Klenow, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4048 Evans Ave, Ste 303, Fort Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246
Carol M Wirth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 Crescent Dr, Fort Myers, FL 33919 Phone: 239-281-6722 Fax: 239-433-9569
Mrs. Natalie Hanners, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12511 World Plaza Ln Bldg 50, Fort Myers, FL 33907 Phone: 239-939-2622 Fax: 239-939-0151
Candace Klein, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 4048 Evans Ave, Ste 303, Fort Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246
Adrianne N Noboa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12511 World Plaza Ln, Building 50, Fort Myers, FL 33907 Phone: 239-939-2622 Fax: 239-939-0151

Mr Joseph Ernest Russakis, CRNA - Medicare Nurse Anesthetist, Certified Registered in Fort Myers, FL