Raquel K Russo, PA - Medicare Physician Assistant in Chesterfield, MO

Raquel K Russo, PA is a medicare enrolled "Physician Assistant" in Chesterfield, Missouri. Her current practice location is 17300 N Outer 40 Rd Ste 201, Chesterfield, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 778-2900.

Raquel K Russo is licensed to practice in Missouri (license number 2022005794) 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 1013545607.

Contact Information

Raquel K Russo, PA
17300 N Outer 40 Rd Ste 201,
Chesterfield, MO 63005-1364
(636) 778-2900
(636) 778-2828



Provider's Profile

Full NameRaquel K Russo
GenderFemale
SpecialityPhysician Assistant
Location17300 N Outer 40 Rd Ste 201, Chesterfield, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013545607
  • Provider Enumeration Date: 03/30/2020
  • Last Update Date: 10/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8729475520
  • Enrollment ID: I20220426001457

Medical Identifiers

Medical identifiers for Raquel K Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013545607NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2022005794 (Missouri)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. Raquel K 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
Raquel K Russo, PA
17300 N Outer 40 Rd Ste 201,
Chesterfield, MO 63005-1364

Ph: (636) 778-2900
Raquel K Russo, PA
17300 N Outer 40 Rd Ste 201,
Chesterfield, MO 63005-1364

Ph: (636) 778-2900

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Physician Assistant Nurses in Chesterfield, MO

Delaney Kathleen Dick, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 111 Saint Lukes Center Dr Bldg B, Chesterfield, MO 63017
Phone: 314-205-1926    
Alexandra Graham, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 121 Saint Lukes Center Dr Ste 305, Chesterfield, MO 63017
Phone: 314-205-1926    
Emily Visonnavong,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 226 S Woods Mill Rd Ste 35, Chesterfield, MO 63017
Phone: 314-548-6860    Fax: 314-548-6866
Mrs. Deborah E Wagner, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1001 Chesterfield Pkwy E, Suite 101, Chesterfield, MO 63017
Phone: 314-878-3839    Fax: 314-878-6575
Mrs. Virginia Ahrens, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 232 S Woods Mill Rd, Chesterfield, MO 63017
Phone: 314-267-6667    
Donna Marie Sinibaldi, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1001 Chesterfield Pkwy E, Suite 101, Chesterfield, MO 63017
Phone: 314-878-3839    Fax: 314-878-6575

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