Mrs Corrine M Russo, PA-C - Medicare Physician Assistant in Columbia, MD

Mrs Corrine M Russo, PA-C is a medicare enrolled "Physician Assistant" in Columbia, Maryland. Her current practice location is 8860 Columbia 100 Pkwy Ste 400, Columbia, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 964-8346.

Mrs Corrine M Russo is licensed to practice in * (Not Available) (license number ) 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 1093236945.

Contact Information

Mrs Corrine M Russo, PA-C
8860 Columbia 100 Pkwy Ste 400,
Columbia, MD 21045
(410) 964-8346
(410) 964-4412



Provider's Profile

Full NameMrs Corrine M Russo
GenderFemale
SpecialityPhysician Assistant
Location8860 Columbia 100 Pkwy Ste 400, Columbia, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093236945
  • Provider Enumeration Date: 06/30/2017
  • Last Update Date: 07/09/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3375818560
  • Enrollment ID: I20171016000583

Medical Identifiers

Medical identifiers for Mrs Corrine M Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093236945NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))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. Mrs Corrine M 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
Mrs Corrine M Russo, PA-C
3700 College Ave Apt 402,
Ellicott City, MD 21043-4641

Ph: (410) 294-7246
Mrs Corrine M Russo, PA-C
8860 Columbia 100 Pkwy Ste 400,
Columbia, MD 21045

Ph: (410) 964-8346

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Physician Assistant Nurses in Columbia, MD

Justin Richard Waite,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5900 Cedar Ln, Columbia, MD 21044
Phone: 443-718-4067    
Mrs. Toni Marie Keller, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 5755 Cedar Ln, Columbia, MD 21044
Phone: 410-720-8000    Fax: 410-740-7511
Sweta Rana, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 10910 Little Patuxent Pkwy Ste 200, Columbia, MD 21044
Phone: 410-997-2770    
Mr. Dipal Patel, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 5755 Cedar Ln, Columbia, MD 21044
Phone: 410-740-7890    
Gretchen H Shapero, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 11085 Little Patuxent Pkwy, Ste 103, Columbia, MD 21044
Phone: 410-997-0580    Fax: 410-740-8587
Chiso Ori Uko, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 10005 Old Columbia Rd Ste P170, Columbia, MD 21046
Phone: 410-312-5280    

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