Corrine M. Russo, PA-C

NPI 1093236945ActiveIndividual· Physician Assistant· Columbia, MD

Physician Assistant (PA-C) with Center for Vein Restoration MD LLC and 4 other groups, practicing in Columbia, Maryland. Enrolled in Medicare as practitioner - physician assistant and practitioner - physician assistant. Tactile Systems Technology Inc reported $49.24 in payments in 2024, mostly food and beverage.

Overview

NPI	1093236945
Status	Active
Entity type	Individual
Credential	PA-C
Sole proprietor	No
NPI issued	Jun 30, 2017
Last updated in NPPES	Jul 9, 2018

Specialties and licenses

Taxonomy	Code	License	State
Physician Assistant Primary	363A00000X	—	—

About license numbers in NPPES

Exclusion screening

List	Result	Details
HHS-OIG LEIE · Nov 10, 2026	No match	Checked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026	No match	—
New York OMIG · Nov 11, 2026	No match	—
Ohio Medicaid · Nov 11, 2026	No match	—
Pennsylvania Medicheck · Nov 11, 2026	No match	—
Washington HCA · Nov 11, 2026	No match	—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)	Enrolled Practitioner - Physician Assistant (AL); Practitioner - Physician Assistant (AZ); Practitioner - Physician Assistant (DC); Practitioner - Physician Assistant (DE); Practitioner - Physician Assistant (GA); Practitioner - Physician Assistant (IL); Practitioner - Physician Assistant (IN); Practitioner - Physician Assistant (KY); Practitioner - Physician Assistant (MA); Practitioner - Physician Assistant (MD); Practitioner - Physician Assistant (MI); Practitioner - Physician Assistant (NC); Practitioner - Physician Assistant (NJ); Practitioner - Physician Assistant (NM); Practitioner - Physician Assistant (NY); Practitioner - Physician Assistant (OH); Practitioner - Physician Assistant (PA); Practitioner - Physician Assistant (SC); Practitioner - Physician Assistant (VA)

Enrollment (PECOS)

Enrolled Practitioner - Physician Assistant (AL); Practitioner - Physician Assistant (AZ); Practitioner - Physician Assistant (DC); Practitioner - Physician Assistant (DE); Practitioner - Physician Assistant (GA); Practitioner - Physician Assistant (IL); Practitioner - Physician Assistant (IN); Practitioner - Physician Assistant (KY); Practitioner - Physician Assistant (MA); Practitioner - Physician Assistant (MD); Practitioner - Physician Assistant (MI); Practitioner - Physician Assistant (NC); Practitioner - Physician Assistant (NJ); Practitioner - Physician Assistant (NM); Practitioner - Physician Assistant (NY); Practitioner - Physician Assistant (OH); Practitioner - Physician Assistant (PA); Practitioner - Physician Assistant (SC); Practitioner - Physician Assistant (VA)

Medicare sources and data years