Antonietta Anna Russo, PHD in Murray, UT - Medicare Clinical Psychologist Provider

Antonietta Anna Russo, PHD is a medicare enrolled "Psychologist" provider in Murray, Utah. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Intermountain Healthcare Services, Inc and her current practice location is 5801 Fashion Blvd, Ste 190, Murray, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 314-4736.

Antonietta Anna Russo is licensed to practice in Utah (license number 370566-2501) 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 1831211895.

Contact Information

	Antonietta Anna Russo, PHD
	5801 Fashion Blvd, Ste 190, Murray, UT 84107-6159
	(801) 314-4736
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Antonietta Anna Russo
Gender	Female
Speciality	Clinical Psychologist
Experience	27 Years
Location	5801 Fashion Blvd, Murray, Utah
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:

Antonietta Anna Russo graduated from medical school in 1997

NPI Data:

NPI Number: 1831211895
Provider Enumeration Date: 04/03/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5890682660
Enrollment ID: I20040304000619

Medical Identifiers

Medical identifiers for Antonietta Anna Russo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831211895	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	370566-2501 (Utah)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Intermountain Healthcare Services, Inc	1850209420	3063

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. Antonietta Anna Russo allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Entity Identifiers	NPI Number: 1033822085 PECOS PAC ID: 1850209420 Enrollment ID: O20230627000064

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. Antonietta Anna 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
Antonietta Anna Russo, PHD 5801 Fashion Blvd, Ste 190, Murray, UT 84107-6159 Ph: (801) 314-4736	Antonietta Anna Russo, PHD 5801 Fashion Blvd, Ste 190, Murray, UT 84107-6159 Ph: (801) 314-4736

Reviews and Comments

Psychologist in Murray, UT

Denise Marie Boelens, PH.D. Psychologist Medicare: May Accept Medicare Assignments Practice Location: 5801 Fashion Blvd, Suite 250, Murray, UT 84107 Phone: 801-596-0147
Dr. Alyssa Bee Levy, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 842 Three Fountains Dr, Murray, UT 84107 Phone: 801-963-4292 Fax: 801-963-4299
Dr. Matthew V. Davies, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5353 S 960 E, Suite 230, Murray, UT 84117 Phone: 801-263-3335 Fax: 801-263-2845
Nathanael W Ridge, PA, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5770 S 250 E, #290, Murray, UT 84107 Phone: 801-747-8700 Fax: 801-747-8701
Diego Gonzalo Flores, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 111 E 5600 S Ste 304, Murray, UT 84107 Phone: 801-272-3420
Samantha Allison, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5121 S Cottonwood St, Murray, UT 84107 Phone: 314-218-8932
Dr. Nicole I Medina, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 5965 S 900 E, Murray, UT 84121 Phone: 801-872-5516

Antonietta Anna Russo, PHD - Medicare Psychologist in Murray, UT