Stephen A Russo, PHD in Drexel Hill, PA - Medicare Psychologist Provider

Stephen A Russo, PHD is a medicare enrolled "Psychologist" provider in Drexel Hill, Pennsylvania. His current practice location is 3300 Township Line Rd, Drexel Hill, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (484) 818-2225.

Stephen A Russo is licensed to practice in Pennsylvania (license number PS015087) 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 1902041825.

Contact Information

	Stephen A Russo, PHD
	3300 Township Line Rd, Drexel Hill, PA 19026-1925
	(484) 818-2225
	(866) 818-4032

Map and Direction

Healthcare Provider's Profile

Full Name	Stephen A Russo
Gender	Male
Speciality	Psychologist
Location	3300 Township Line Rd, Drexel Hill, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902041825
Provider Enumeration Date: 12/05/2008
Last Update Date: 02/08/2020

Medicare PECOS Information:

PECOS PAC ID: 7810046893
Enrollment ID: I20160930002072

Medical Identifiers

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

Identifier	Type	State	Issuer
1902041825	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TE1100X	Psychologist - Exercise & Sports	PS015087 (Pennsylvania)	Secondary
103T00000X	Psychologist	PS015087 (Pennsylvania)	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. Stephen A Russo allows following entities to bill medicare on his behalf.

Entity Name	Springfield Psychological Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295705317 PECOS PAC ID: 1456322973 Enrollment ID: O20040805001143

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. Stephen 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
Stephen A Russo, PHD Po Box 741, Media, PA 19063-0741 Ph: (484) 818-2225	Stephen A Russo, PHD 3300 Township Line Rd, Drexel Hill, PA 19026-1925 Ph: (484) 818-2225

Reviews and Comments

Psychologist in Drexel Hill, PA

Mr. Pasquale John Russoniello, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 366 Fairfax Rd, Drexel Hill, PA 19026 Phone: 610-316-6944
Dr. Ann Marie Mclaughlin, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5100 State Rd, Drexel Hill, PA 19026 Phone: 610-449-6087 Fax: 610-695-6319
Dr. Citrini Nata Devi, PH.D., E-RYT, C-IAYT Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4700 Township Line Rd, Drexel Hill, PA 19026 Phone: 610-664-6446 Fax: 610-446-9642
Theodore C Lewandowski, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1115 Cobbs St, Drexel Hill, PA 19026 Phone: 610-853-2495
Dr. Erika M Dawkins, PSYD, MED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3-1 Bloomfield Ave, Drexel Hill, PA 19026 Phone: 484-202-0491
Dr. Pamela Miller Lunardi, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3350 Township Line Rd, Drexel Hill, PA 19026 Phone: 610-853-8231 Fax: 610-853-8238
Carolyn Roache, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1388 Dermond Rd, Drexel Hill, PA 19026 Phone: 484-680-0828

Stephen A Russo, PHD - Medicare Psychologist in Drexel Hill, PA