Domenick Russolello, in Lagrangeville, NY - Medicare Physical Therapist In Private Practice Provider

Domenick Russolello, is a medicare enrolled "Physical Therapist" provider in Lagrangeville, New York. He graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Elevate Physical Therapy Pllc, Elevate Holding Company, Llc and his current practice location is 1141 Route 55, Ste A, Lagrangeville, New York. You can reach out to his office (for appointments etc.) via phone at (845) 895-1115.

Domenick Russolello is licensed to practice in New York (license number 040777) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1750836078.

Contact Information

	Domenick Russolello,
	1141 Route 55, Ste A, Lagrangeville, NY 12540-5005
	(845) 895-1115
	(845) 895-1116

Map and Direction

Healthcare Provider's Profile

Full Name	Domenick Russolello
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	10 Years
Location	1141 Route 55, Lagrangeville, New York
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Domenick Russolello graduated from medical school in 2016

NPI Data:

NPI Number: 1750836078
Provider Enumeration Date: 08/16/2016
Last Update Date: 08/16/2016

Medicare PECOS Information:

PECOS PAC ID: 7315234671
Enrollment ID: I20160929002731

Medical Identifiers

Medical identifiers for Domenick Russolello such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750836078	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	040777 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Elevate Physical Therapy Pllc	8527338847	4
Elevate Holding Company, Llc	3678836061	17

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. Domenick Russolello allows following entities to bill medicare on his behalf.

Provider Name	Elevate Physical Therapy Pllc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1548619687 PECOS PAC ID: 8527338847 Enrollment ID: O20170719003205

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. Domenick Russolello 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
Domenick Russolello, 16 Maybrook Rd, Ste A, Campbell Hall, NY 10916-2743 Ph: (845) 636-4344	Domenick Russolello, 1141 Route 55, Ste A, Lagrangeville, NY 12540-5005 Ph: (845) 895-1115

Reviews and Comments

Physical Therapist in Lagrangeville, NY

Diane Marie Morrison, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 232 Bloomer Rd, Lagrangeville, NY 12540 Phone: 845-227-3240
John Edwin Burk, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1100 Route 55, Suite 101, Lagrangeville, NY 12540 Phone: 845-471-2423 Fax: 845-471-2776
Caroline Ann Montera, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1097 Route 55, Lagrangeville, NY 12540 Phone: 845-454-4137 Fax: 845-454-6457
Yvonne Ann Egitto, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 41 Grangevale Rd, Lagrangeville, NY 12540 Phone: 845-227-7285 Fax: 845-227-7285
Susan Geiger, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 148 Andrews Rd, Lagrangeville, NY 12540 Phone: 845-227-9579
Mrs. Kimberly Lynn Zimmerli, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24 Liberty Way, Lagrangeville, NY 12540 Phone: 845-849-4187
Mrs. Cathy Ann Cote, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 103 Cunningham Dr, Lagrangeville, NY 12540 Phone: 845-214-0078

Domenick Russolello, - Medicare Physical Therapist in Lagrangeville, NY