| Mrs Corrine M Russo, PA-C | |
|
8860 Columbia 100 Pkwy Ste 400, Columbia, MD 21045 | |
| (410) 964-8346 | |
| (410) 964-4412 |
| Full Name | Mrs Corrine M Russo |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 8860 Columbia 100 Pkwy Ste 400, Columbia, Maryland |
| 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 |
|---|---|---|---|
| 1093236945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (NU) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Center For Vein Restoration Ga Corp | 8527478742 | 7 |
| Center For Vein Restoration Md Llc | 8729022736 | 32 |
| Center For Vein Restoration Md Llc | 8729022736 | 32 |
| Center For Vein Restoration Oh Llc | 1254619091 | 5 |
| Center For Vein Restoration Pa Pllc | 2365768298 | 8 |
| Center For Vein Restoration In Llc | 8426356528 | 11 |
| Entity Name | Center for Vein Restoration Ga Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902423387 PECOS PAC ID: 8527478742 Enrollment ID: O20201029000773 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Corrine M Russo, PA-C 3700 College Ave Apt 402, Ellicott City, MD 21043-4641 Ph: (410) 294-7246 | Mrs Corrine M Russo, PA-C 8860 Columbia 100 Pkwy Ste 400, Columbia, MD 21045 Ph: (410) 964-8346 |
Justin Richard Waite, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5900 Cedar Ln, Columbia, MD 21044 Phone: 443-718-4067 |
Mrs. Toni Marie Keller, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 410-720-8000 Fax: 410-740-7511 |
Smital Patel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr Ste 130, Columbia, MD 21044 Phone: 410-772-7000 |
Melissa Tsang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9520 Berger Rd Ste 203, Columbia, MD 21046 Phone: 410-823-6408 |
Bradley Klement, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr, Columbia, MD 21044 Phone: 410-955-5000 |
Zayda Villatoro, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7226 Lee Deforest Dr Ste 206, Columbia, MD 21046 Phone: 410-656-2646 |
Mr. Dipal Patel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 410-740-7890 |