| Ms Kathleen Russo, ARNP | |
|
700 Medical Blvd, Englewood, FL 34223-3964 | |
| (941) 475-6571 | |
| Not Available |
| Full Name | Ms Kathleen Russo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 21 Years |
| Location | 700 Medical Blvd, Englewood, Florida |
| 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 |
|---|---|---|---|
| 1790784932 | NPI | - | NPPES |
| 019998700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | ARNP2918432 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | ARNP2918432 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Carolina Hospital | Sanford, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Coverage Llc | 3072412592 | 530 |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20100202000365 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kathleen Russo, ARNP Po Box 3492, Placida, FL 33946-3492 Ph: (941) 698-0703 | Ms Kathleen Russo, ARNP 700 Medical Blvd, Englewood, FL 34223-3964 Ph: (941) 475-6571 |
Tiffany Kristine Lamarca, FNP-BC, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2061 Englewood Rd Ste 5, Englewood, FL 34223 Phone: 941-473-8881 Fax: 941-475-0801 | |
Tina Marie Reynolds, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 S Mccall Rd, Englewood, FL 34224 Phone: 941-841-4200 Fax: 941-841-4201 | |
Monic Menard, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2061 Englewood Rd, Suite 4, Englewood, FL 34223 Phone: 941-473-8881 Fax: 941-475-0801 | |
Devon Smith, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 S Mccall Rd, Englewood, FL 34224 Phone: 941-548-1716 | |
Amanda Mariah Munden, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3000 S Mccall Rd, Englewood, FL 34224 Phone: 941-841-4200 | |
Mrs. Christiana Sipper Casanova, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Medical Dr, Englewood, FL 34223 Phone: 941-280-0499 Fax: 941-340-0601 | |
Melissa Jenkins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 Drury Ln, Englewood, FL 34224 Phone: 313-806-2619 |