Jack Russo, MD - Medicare Otolaryngology in Brooklyn, NY

Jack Russo, MD is a medicare enrolled "Otolaryngology" physician in Brooklyn, New York. He went to University Of California, Davis School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Ent And Allergy Associates Llp and his current practice location is 300 Cadman Plz W Ste 1301, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at (718) 208-4449.

Jack Russo is licensed to practice in New York (license number 277526) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1689990616.

Contact Information

Jack Russo, MD
300 Cadman Plz W Ste 1301,
Brooklyn, NY 11201-3229
(718) 208-4449
(718) 208-4663



Physician's Profile

Full NameJack Russo
GenderMale
SpecialityOtolaryngology
Experience14 Years
Location300 Cadman Plz W Ste 1301, Brooklyn, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jack Russo attended and graduated from University Of California, Davis School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1689990616
  • Provider Enumeration Date: 04/15/2010
  • Last Update Date: 02/04/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6204144371
  • Enrollment ID: I20151009001290

Medical Identifiers

Medical identifiers for Jack Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689990616NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 277526 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ent And Allergy Associates Llp0749193662368

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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. Jack Russo allows following entities to bill medicare on his behalf.
Entity NameEnt And Allergy Associates Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376598326
PECOS PAC ID: 0749193662
Enrollment ID: O20031107000043

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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. Jack 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
Jack Russo, MD
660 White Plains Rd Fl 4,
Tarrytown, NY 10591-5139

Ph: (914) 984-2546
Jack Russo, MD
300 Cadman Plz W Ste 1301,
Brooklyn, NY 11201-3229

Ph: (718) 208-4449

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Otolaryngology Doctors in Brooklyn, NY

Anthony Paul Vastola, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 300 Cadman Plz W, Suite 1301, Brooklyn, NY 11201
Phone: 929-252-1566    Fax: 718-208-4663
Harry Pantelides, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 170 Broadway, Brooklyn, NY 11211
Phone: 718-618-9181    
Dr. Marc David Gottlieb, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 6740 4th Ave Fl 3, Brooklyn, NY 11220
Phone: 929-455-2700    
Dr. Sara Abu Ghanem,
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 450 Clarkson Ave # Msc126, Brooklyn, NY 11203
Phone: 718-270-1638    Fax: 718-270-3924
Dr. Mayer Adler, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 6910 Bay Parkway, Brooklyn, NY 11204
Phone: 718-236-3900    Fax: 718-236-8787
Dr. Ofer Azoulay, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 185 Montague St Fl 5, Brooklyn, NY 11201
Phone: 929-284-6120    
Simon H Friedman, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1636 East 14th Str, Suite 120, Brooklyn, NY 11229
Phone: 718-339-2300    Fax: 718-998-8020

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