Victoria Russo, PA is a medicare enrolled "Physician Assistant" in Port Monmouth, New Jersey. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Central Jersey Urgent Care and her current practice location is
363 State Route 36, Port Monmouth, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(732) 471-0400.
Victoria Russo is licensed to practice in NU (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508449026.
Provider's Profile
| Full Name | Victoria Russo |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 5 Years |
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| Location | 363 State Route 36, Port Monmouth, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Victoria Russo graduated from nursing school in 2021
NPI Data:
- NPI Number: 1508449026
- Provider Enumeration Date: 05/03/2021
- Last Update Date: 10/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830583269
- Enrollment ID: I20220301002796
Medical Identifiers
Medical identifiers for Victoria Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1508449026 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | (NU) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Central Jersey Urgent Care | 7618114323 | 78 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Victoria Russo allows following entities to bill medicare on her behalf.
| Entity Name | Integrated Medicine Alliance PA |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649252776 PECOS PAC ID: 2668468919 Enrollment ID: O20040422000184 |
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| Entity Name | Central Jersey Urgent Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316285091 PECOS PAC ID: 7618114323 Enrollment ID: O20130516000050 |
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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. Victoria Russo 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 |
Victoria Russo, PA Po Box 8519, Red Bank, NJ 07701-8519 Ph: (732) 460-9840 | Victoria Russo, PA 363 State Route 36, Port Monmouth, NJ 07758-1359 Ph: (732) 471-0400 |
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