| Stephen A Russo, PA-C | |
|
1500 Highlands Dr, Lititz, PA 17543-7694 | |
| (717) 988-0000 | |
| (717) 782-5716 |
| Full Name | Stephen A Russo |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1500 Highlands Dr, Lititz, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063783074 | NPI | - | NPPES |
| 103476544 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9106297 (Florida) | Secondary |
| 363A00000X | Physician Assistant | MA057357 (Pennsylvania) | Primary |
| Entity Name | Pinnacle Health Emergency Department Services, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487693404 PECOS PAC ID: 0143124701 Enrollment ID: O20031125000218 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen A Russo, PA-C 1500 Highlands Dr, Lititz, PA 17543-7694 Ph: Not Available | Stephen A Russo, PA-C 1500 Highlands Dr, Lititz, PA 17543-7694 Ph: (717) 988-0000 |
Carolyn S Esterly, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6 W Newport Rd, Lititz, PA 17543 Phone: 717-627-2108 Fax: 717-627-2434 |
Madeline Cingle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 51 Peters Road, Suite 101, Lititz, PA 17543 Phone: 814-360-0265 |
Kyle A Russell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 West Lemon Street, Lititz, PA 17543 Phone: 717-544-8696 Fax: 717-544-8697 |
Martha Elizabeth Hostetler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2320 Rothsville Rd Ste 200, Lititz, PA 17543 Phone: 717-721-4800 Fax: 717-626-1613 |
Madison Lyn Carey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 240 N Cedar St, Lititz, PA 17543 Phone: 717-588-1190 |
Mr. Matthew Dirodio, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1500 Highlands Dr, Lititz, PA 17543 Phone: 717-625-5000 |
Heather A Conner-merz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 640 East Oregon Rroad, Neurology & Stroke Associates, Lititz, PA 17543 Phone: 717-569-8773 Fax: 717-569-8187 |