| Raquel K Russo, PA-C | |
|
13353 Olive Blvd, Chesterfield, MO 63017-3108 | |
| (636) 778-2900 | |
| (636) 778-2828 |
| Full Name | Raquel K Russo |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 5 Years |
| Location | 13353 Olive Blvd, Chesterfield, Missouri |
| 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 |
|---|---|---|---|
| 1013545607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2022005794 (Missouri) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bluetail Medical Group, Llc | 1456599141 | 6 |
| Mailing Address | Practice Location Address |
|---|---|
| Raquel K Russo, PA-C 13353 Olive Blvd, Chesterfield, MO 63017-3108 Ph: (636) 778-2900 | Raquel K Russo, PA-C 13353 Olive Blvd, Chesterfield, MO 63017-3108 Ph: (636) 778-2900 |
Delaney Kathleen Dick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 Saint Lukes Center Dr Bldg B, Chesterfield, MO 63017 Phone: 314-205-1926 | |
Mrs. Ashley Carolyn Reedy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14825 N Outer Forty Rd Ste 310, Chesterfield, MO 63017 Phone: 314-442-4452 Fax: 866-216-3928 | |
Ms. Courtney Ann Wagner, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 16100 Chesterfield Pkwy W Ste 175, Chesterfield, MO 63017 Phone: 314-735-0780 Fax: 314-735-1625 | |
Emily Visonnavong, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 226 S Woods Mill Rd Ste 35, Chesterfield, MO 63017 Phone: 314-548-6860 Fax: 314-548-6866 | |
Mrs. Deborah E Wagner, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1001 Chesterfield Pkwy E, Suite 101, Chesterfield, MO 63017 Phone: 314-878-3839 Fax: 314-878-6575 | |
Mrs. Virginia Ahrens, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017 Phone: 314-267-6667 |