Mrs Paula Petrullo Russo, PA - Medicare Physician Assistant in Ranson, WV

Mrs Paula Petrullo Russo, PA is a medicare enrolled "Physician Assistant - Medical" in Ranson, West Virginia. Her current practice location is 207 E 5th Ave, Ranson, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 728-5051.

Mrs Paula Petrullo Russo is licensed to practice in West Virginia (license number 00382) 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 1619023322.

Contact Information

Mrs Paula Petrullo Russo, PA
207 E 5th Ave,
Ranson, WV 25438-1613
(304) 728-5051
(304) 728-9735



Provider's Profile

Full NameMrs Paula Petrullo Russo
GenderFemale
SpecialityPhysician Assistant - Medical
Location207 E 5th Ave, Ranson, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1619023322
  • Provider Enumeration Date: 01/26/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9638271638
  • Enrollment ID: I20070222000046

Medical Identifiers

Medical identifiers for Mrs Paula Petrullo Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619023322NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 00382 (West Virginia)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 Paula Petrullo 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 Paula Petrullo Russo, PA
6568 Flowing Springs Rd,
Shenandoah Junction, WV 25442-4666

Ph: (304) 876-3626
Mrs Paula Petrullo Russo, PA
207 E 5th Ave,
Ranson, WV 25438-1613

Ph: (304) 728-5051

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Physician Assistant Nurses in Ranson, WV

Robin Mary Allen, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 100 Oak Lee Dr, Ranson, WV 25438
Phone: 304-930-0001    Fax: 681-252-1843
Mr. Ronald Gene Hutson, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 611 E 5th Ave, Ranson, WV 25438
Phone: 304-724-7417    Fax: 304-724-7418
Gongqiao Zhang, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 100 Oak Lee Dr, Ranson, WV 25438
Phone: 304-930-0001    
Mr. Ronald Ray Spruill Jr., PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 100 Oak Lee Drive, Ranson, WV 25438
Phone: 304-930-0001    Fax: 681-252-1843
Chariti Porter Stephens, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 116 E 3rd Ave, Ranson, WV 25438
Phone: 304-724-7200    Fax: 304-724-7280
Margaret M Harris, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 100 Oak Lee Dr, Ranson, WV 25438
Phone: 304-930-0001    Fax: 681-252-1843

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