Dr Melissa Lauren Russo, MD - Medicare Obstetrics/gynecology in Providence, RI

Dr Melissa Lauren Russo, MD is a medicare enrolled "Obstetrics & Gynecology - Maternal & Fetal Medicine" physician in Providence, Rhode Island. She went to Georgetown University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Affinity Physicians Llc., Wih Faculty Physicians, Inc and her current practice location is 101 Plain St Fl 6, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 274-1122.

Dr Melissa Lauren Russo is licensed to practice in Rhode Island (license number MD15891) 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 1205034519.

Contact Information

Dr Melissa Lauren Russo, MD
101 Plain St Fl 6,
Providence, RI 02903-4829
(401) 274-1122
(401) 453-7622



Physician's Profile

Full NameDr Melissa Lauren Russo
GenderFemale
SpecialityObstetrics/gynecology
Experience17 Years
Location101 Plain St Fl 6, Providence, Rhode Island
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Melissa Lauren Russo attended and graduated from Georgetown University School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1205034519
  • Provider Enumeration Date: 07/07/2007
  • Last Update Date: 02/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4981852811
  • Enrollment ID: I20170615001533

Medical Identifiers

Medical identifiers for Dr Melissa Lauren Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205034519NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MD15891 (Rhode Island)Secondary
207VM0101XObstetrics & Gynecology - Maternal & Fetal Medicine 274564 (Massachusetts)Secondary
207VM0101XObstetrics & Gynecology - Maternal & Fetal Medicine MD15891 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Women & Infants Hospital Of Rhode IslandProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Affinity Physicians Llc.0244413391619
Wih Faculty Physicians, Inc923417976312

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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 Melissa Lauren Russo allows following entities to bill medicare on her behalf.
Entity NameAffinity Physicians Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184944662
PECOS PAC ID: 0244413391
Enrollment ID: O20110326000053

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Entity NameThe Miriam Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1164716031
PECOS PAC ID: 6901796408
Enrollment ID: O20110928000027

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Entity NameLifespan Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407116643
PECOS PAC ID: 2567455082
Enrollment ID: O20121029000368

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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. Dr Melissa Lauren 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 AddressPractice Location Address
Dr Melissa Lauren Russo, MD
101 Dudley St,
Providence, RI 02905-2499

Ph: (401) 274-1122
Dr Melissa Lauren Russo, MD
101 Plain St Fl 6,
Providence, RI 02903-4829

Ph: (401) 274-1122

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Obstetrics & Gynecology Doctors in Providence, RI

Donald Ramos, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 695 Eddy St, Providence, RI 02903
Phone: 401-272-1550    Fax: 401-421-8792
Brittany S Hampton, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1100    
Dr. Jane R. Sharp, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 297 Promenade St, Providence, RI 02908
Phone: 401-490-6464    
Dr. Katharine D Wenstrom, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 101 Dudley Street, 3rd Floor, Women & Infants Hospital Of Rhode Island/mfm Division, Providence, RI 02905
Phone: 401-274-1122    Fax: 401-453-7622
Rebecca Crichton, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1122    
Heather A Smith, MD, MPH
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1122    
Meena Theva, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 101 Dudley St, Providence, RI 02905
Phone: 401-274-1122    

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