Antonino Roberto Russo, - Medicare Physical Therapist in Burley, ID

Antonino Roberto Russo, is a medicare enrolled "Physical Therapist" provider in Burley, Idaho. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Wright Physical Therapy Limited Partnership and his current practice location is 1945 Hiland Ave, Burley, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 647-0024.

Antonino Roberto Russo is licensed to practice in Idaho (license number PT-7636) 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 1316604937.

Contact Information

Antonino Roberto Russo,
1945 Hiland Ave,
Burley, ID 83318-2714
(208) 647-0024
Not Available



Healthcare Provider's Profile

Full NameAntonino Roberto Russo
GenderMale
SpecialityPhysical Therapy
Experience3 Years
Location1945 Hiland Ave, Burley, Idaho
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:
  • Antonino Roberto Russo graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1316604937
  • Provider Enumeration Date: 11/18/2021
  • Last Update Date: 11/18/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2264822402
  • Enrollment ID: I20211202002240

Medical Identifiers

Medical identifiers for Antonino Roberto Russo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316604937NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT-7636 (Idaho)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wright Physical Therapy Limited Partnership175961264155

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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. Antonino Roberto Russo allows following entities to bill medicare on his behalf.
Provider NameWright Physical Therapy Limited Partnership
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1730732025
PECOS PAC ID: 1759612641
Enrollment ID: O20191007003583

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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. Antonino Roberto 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
Antonino Roberto Russo,
1411 Falls Ave E Ste 401,
Twin Falls, ID 83301-3455

Ph: (208) 647-0024
Antonino Roberto Russo,
1945 Hiland Ave,
Burley, ID 83318-2714

Ph: (208) 647-0024

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Physical Therapist in Burley, ID

Dr. Tyler Carlen, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1501 Hiland Ave, Burley, ID 83318
Phone: 208-677-6530    
Nicholas Lewis, PT, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1945 Hiland Ave, Burley, ID 83318
Phone: 208-647-0024    Fax: 208-647-0239
Austin Stoddard, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1263 Bennett Ave Ste 2, Burley, ID 83318
Phone: 208-678-1191    
Mr. Jeffrey Dwain Manion, MPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 933 Sandy Glen Ln, Burley, ID 83318
Phone: 402-290-4584    
Ryan Patrick Mccormick, P.T., D.P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 1945 Hiland Ave, Burley, ID 83318
Phone: 208-647-0024    Fax: 208-647-0239
Troy Michael Anderson, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1501 Hiland Ave, Burley, ID 83318
Phone: 208-677-6530    

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