Dr Joseph A Russo, OD in South Portland, ME - Medicare Optometrist Provider

Dr Joseph A Russo, OD is a medicare enrolled "Optometrist" provider in South Portland, Maine. His current practice location is 364 Maine Mall Rd Ste F128, South Portland, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 383-3456.

Dr Joseph A Russo is licensed to practice in Maine (license number OPT1037) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114903218.

Contact Information

	Dr Joseph A Russo, OD
	364 Maine Mall Rd Ste F128, South Portland, ME 04106-3206
	(207) 383-3456
	(207) 383-3409

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Joseph A Russo
Gender	Male
Speciality	Optometrist
Location	364 Maine Mall Rd Ste F128, South Portland, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114903218
Provider Enumeration Date: 12/20/2005
Last Update Date: 06/29/2022

Medicare PECOS Information:

PECOS PAC ID: 9234102450
Enrollment ID: I20220112000151

Medical Identifiers

Medical identifiers for Dr Joseph A Russo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114903218	NPI	-	NPPES
0700177	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT1037 (Maine)	Primary

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. Dr Joseph A Russo allows following entities to bill medicare on his behalf.

Provider Name	Brighton Eye Care Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578939906 PECOS PAC ID: 9537479787 Enrollment ID: O20151030001459

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. Dr Joseph A 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
Dr Joseph A Russo, OD 364 Maine Mall Rd Ste F128, South Portland, ME 04106-3206 Ph: (207) 383-3456	Dr Joseph A Russo, OD 364 Maine Mall Rd Ste F128, South Portland, ME 04106-3206 Ph: (207) 383-3456

Reviews and Comments

Optometrist in South Portland, ME

Ronald M. Cedrone Od, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 335 Maine Mall Rd, South Portland, ME 04106 Phone: 207-771-7968 Fax: 207-771-7983
Casco Bay Eyecare Llc Optometrist Medicare: Medicare Enrolled Practice Location: 144 Thadeus St, South Portland, ME 04106 Phone: 207-885-8686 Fax: 207-883-7154
Peter F Morse Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 Maine Mall, South Portland, ME 04106 Phone: 207-774-8008 Fax: 207-774-0990
Harbor View Eye Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 743 Broadway, South Portland, ME 04106 Phone: 207-799-3031 Fax: 207-799-9005
Roger R Gagnon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 510 Mainemall Rd., South Portland, ME 04106 Phone: 207-775-2030 Fax: 207-775-0755
Mark E. Elkinson, Od, Pa Optometrist Medicare: Medicare Enrolled Practice Location: 200 Gorham Rd, Suite 940, South Portland, ME 04106 Phone: 207-761-9054

Dr Joseph A Russo, OD - Medicare Optometrist in South Portland, ME