Mr Russell White, PA - Medicare Physician Assistant in Niceville, FL

Mr Russell White, PA is a medicare enrolled "Physician Assistant - Surgical" in Niceville, Florida. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice North Florida Surgeons Pa and his current practice location is 1950 Bluewater Blvd, Suite 100, Niceville, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 897-8081.

Mr Russell White is licensed to practice in Florida (license number 9110128) 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 1508306473.

Contact Information

Mr Russell White, PA
1950 Bluewater Blvd, Suite 100,
Niceville, FL 32578-3887
(850) 897-8081
(850) 897-1520

Map and Direction




Provider's Profile

Full NameMr Russell White
GenderMale
SpecialityPhysician Assistant
Experience8 Years
Location1950 Bluewater Blvd, Niceville, Florida
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:
  • Mr Russell White graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1508306473
  • Provider Enumeration Date: 02/27/2017
  • Last Update Date: 02/27/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2860778016
  • Enrollment ID: I20170424002396

Medical Identifiers

Medical identifiers for Mr Russell White such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508306473NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 9110128 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Twin Cities HospitalNiceville, FLHospital
Sacred Heart Hospital On The Emerald CoastMiramar beach, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Florida Surgeons Pa2769381391231

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. Mr Russell White 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
Mr Russell White, PA
1950 Bluewater Blvd, Suite 100,
Niceville, FL 32578-3887

Ph: (850) 897-8081
Mr Russell White, PA
1950 Bluewater Blvd, Suite 100,
Niceville, FL 32578-3887

Ph: (850) 897-8081

Reviews and Comments


Physician Assistant Nurses in Niceville, FL

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Phone: 850-897-6600    Fax: 850-897-0623
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Practice Location: 4566 E Highway 20 Ste 101, Niceville, FL 32578
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Medicare: Not Enrolled in Medicare
Practice Location: 550 Twin Cities Blvd, Suite A, Niceville, FL 32578
Phone: 850-729-1444    Fax: 850-729-0300

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.