Crystal L Russo, PA - Physician Assistant in Bismarck, ND

Crystal L Russo, PA is a Physician Assistant based in Bismarck, North Dakota. Crystal L Russo is licensed to practice in North Dakota (license number PAC0582) and her current practice location is 900 E Broadway Ave, Bismarck, North Dakota. She can be reached at her office (for appointments etc.) via phone at (701) 530-6500.

NPI number for Crystal L Russo is 1902094584 and her current mailing address is Po Box 997, Bismarck, North Dakota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902094584.

Contact Information

Crystal L Russo, PA
900 E Broadway Ave,
Bismarck, ND 58501-4520
(701) 530-6500
Not Available



Provider's Profile

Full NameCrystal L Russo
GenderFemale
SpecialityPhysician Assistant
Location900 E Broadway Ave, Bismarck, North Dakota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902094584
  • Provider Enumeration Date: 10/09/2007
  • Last Update Date: 07/22/2016

Medical Identifiers

Medical identifiers for Crystal L Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902094584NPI-NPPES
1463523MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PAC0582 (North Dakota)Primary

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. Crystal L Russo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Crystal L Russo, PA
Po Box 997,
Bismarck, ND 58502-0997

Ph: (701) 530-6500
Crystal L Russo, PA
900 E Broadway Ave,
Bismarck, ND 58501-4520

Ph: (701) 530-6500

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Physician Assistant Nurses in Bismarck, ND

Burton J Mollman, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4401 Coleman St Ste 107, Bismarck, ND 58503
Phone: 701-751-4340    Fax: 701-751-4340
Djaninn Mae Shannon Mckibben, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 222 N 7th St, Bismarck, ND 58501
Phone: 701-323-6000    
Tracy L Vearrier, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2520 N 7th St, Bismarck, ND 58503
Phone: 701-223-6595    
Samantha Mollman, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 310 N 10th St, Bismarck, ND 58501
Phone: 701-530-7500    
Kari A Thomas, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 300 N 7th St, Bismarck, ND 58501
Phone: 701-323-6000    
Stacie L Moritz, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E Rosser Ave, Bismarck, ND 58501
Phone: 701-530-6000    Fax: 701-530-6430
Emily M Stevenson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2603 E Broadway Ave, Bismarck, ND 58501
Phone: 701-323-5222    

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