Nicholas Tyler Russenberger, MPAS - Medicare Physician Assistant in Buffalo, OK

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Nicholas Tyler Russenberger, MPAS is a medicare enrolled "Physician Assistant" in Buffalo, Oklahoma. His current practice location is 1003 Us Highway 64, Buffalo, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 735-2555.

Nicholas Tyler Russenberger is licensed to practice in Oklahoma (license number 5175) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487435053.

Contact Information

Nicholas Tyler Russenberger, MPAS
1003 Us Highway 64,
Buffalo, OK 73834-8912
(580) 735-2555
(580) 735-2574

Map and Direction




Provider's Profile

Full NameNicholas Tyler Russenberger
GenderMale
SpecialityPhysician Assistant
Location1003 Us Highway 64, Buffalo, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487435053
  • Provider Enumeration Date: 10/10/2023
  • Last Update Date: 10/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8426405796
  • Enrollment ID: I20231108000398

Medical Identifiers

Medical identifiers for Nicholas Tyler Russenberger such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487435053NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5175 (Oklahoma)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. Nicholas Tyler Russenberger 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
Nicholas Tyler Russenberger, MPAS
Po Box 677,
Buffalo, OK 73834-0677

Ph: (501) 215-1468		Nicholas Tyler Russenberger, MPAS
1003 Us Highway 64,
Buffalo, OK 73834-8912

Ph: (580) 735-2555

Reviews and Comments


Physician Assistant Nurses in Buffalo, OK

Roberta L Daley, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1001 Hwy 64 N, Buffalo, OK 73834
Phone: 580-735-2506    Fax: 580-735-2728

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.