Dr Tanya Russo, DO - Medicare Pediatrics in Albemarle, NC

Dr Tanya Russo, DO is a medicare enrolled "Pediatrics" physician in Albemarle, North Carolina. Her current practice location is 105 Yadkin St, Suite 303, Albemarle, North Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 532-2208.

Dr Tanya Russo is licensed to practice in South Carolina (license number 0574) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013906098.

Contact Information

Dr Tanya Russo, DO
105 Yadkin St, Suite 303,
Albemarle, NC 28001-3449
(803) 532-2208
Not Available



Physician's Profile

Full NameDr Tanya Russo
GenderFemale
SpecialityPediatrics
Location105 Yadkin St, Albemarle, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013906098
  • Provider Enumeration Date: 10/21/2005
  • Last Update Date: 02/02/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 1850320532
  • Enrollment ID: I20050812000195

Medical Identifiers

Medical identifiers for Dr Tanya Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013906098NPI-NPPES
1013906098MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 0574 (South Carolina)Primary
208000000XPediatrics 2015-02335 (North Carolina)Secondary

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 Tanya Russo allows following entities to bill medicare on her behalf.
Entity NameMcleod Health Clarendon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508218793
PECOS PAC ID: 0840582656
Enrollment ID: O20160915000930

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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 Tanya 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 Tanya Russo, DO
Po Box 601888,
Charlotte, NC 28260-1888

Ph: (704) 982-2683
Dr Tanya Russo, DO
105 Yadkin St, Suite 303,
Albemarle, NC 28001-3449

Ph: (803) 532-2208

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Pediatrics Doctors in Albemarle, NC

Dr. Linda Williamson Lawrence, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1420 Us Highway 52 North, Suite A, Albemarle, NC 28001
Phone: 704-982-5437    
Mr. Lanny Lee Monroe Jr., MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 105 Yadkin St, Suite 303, Albemarle, NC 28001
Phone: 704-982-2683    Fax: 704-512-4838
Kristina L. Kelly, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 105 Yadkin St, Ste 303, Albemarle, NC 28001
Phone: 980-323-5400    
Lamonica Barnum,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 105 Yadkin St, Suite 303, Albemarle, NC 28001
Phone: 980-323-5400    
Dr. Susan Carol Watson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1420 Us Highway 52 North, Suite A, Albemarle, NC 28001
Phone: 704-982-5437    Fax: 704-982-4843
Elaine M Coats, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 105 Yadkin St, Ste 303, Albemarle, NC 28001
Phone: 980-323-5400    

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