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Ana Russo

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9333 SW 152nd St, Palmetto Bay, FL 33157-1778

PECOS Enrollment

Based on the most recent information from CMS, provider Ana Russo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1700237922
Provider Type
Individual
Full Name
Russo, Ana
Credential
ARNP

Gender
Female
Sole Proprietor
No
Enumeration Date
6/29/2016
Last Updated
6/29/2016

Contact Information

Practice Location

9333 SW 152nd St, Palmetto Bay, FL 33157-1778

(305) 256-5104

Unlisted Fax

Mailing Location

9333 SW 152nd St, Palmetto Bay, FL 33157-1778

(305) 256-5104

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 9214013 Florida

Ana Russo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Soca Advance Health Practice Pa

Garcia, Leslia

Puga, Roberto

Janice D Bacchus, Llc

Bada, Mayrelis

Saleh, Fatma

Mccane, Lorgia

Garcia, Ivonne

Ruka Medical Center

Martinez, Maria V