Mr Russell John Ridulfo, PA in Nesconset, NY - Medicare Physician Assistant

Mr Russell John Ridulfo, PA is a medicare enrolled "Physician Assistant" in Nesconset, New York. He graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Southwest Suffolk Medical Pc and his current practice location is 12 Maple Glen Ln, Nesconset, New York. You can reach out to his office (for appointments etc.) via phone at (631) 942-0295.

Mr Russell John Ridulfo is licensed to practice in New York (license number ) 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 1407697683.

Contact Information

	Mr Russell John Ridulfo, PA
	12 Maple Glen Ln, Nesconset, NY 11767-1712
	(631) 942-0295
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Russell John Ridulfo
Gender	Male
Speciality	Physician Assistant
Experience	1 Years
Location	12 Maple Glen Ln, Nesconset, New York
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:

Mr Russell John Ridulfo graduated from nursing school in 2024

NPI Data:

NPI Number: 1407697683
Provider Enumeration Date: 06/03/2024
Last Update Date: 06/03/2024

Medicare PECOS Information:

PECOS PAC ID: 0648705715
Enrollment ID: I20241126002310

Medical Identifiers

Medical identifiers for Mr Russell John Ridulfo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407697683	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Charles Hospital	Port jefferson, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southwest Suffolk Medical Pc	0244396349	164

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 Russell John Ridulfo 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 Russell John Ridulfo, PA 12 Maple Glen Ln, Nesconset, NY 11767-1712 Ph: (631) 942-0295	Mr Russell John Ridulfo, PA 12 Maple Glen Ln, Nesconset, NY 11767-1712 Ph: (631) 942-0295

Reviews and Comments

Physician Assistant Nurses in Nesconset, NY

Paige Suzanne Karras, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20 Raynier Pl, Nesconset, NY 11767 Phone: 631-624-0486
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Faiza R Shah, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7 Sara Ct, Nesconset, NY 11767 Phone: 631-357-0663

Mr Russell John Ridulfo, PA - Medicare Physician Assistant in Nesconset, NY