Nicole Russell, PA-C in Roslyn, NY - Medicare Physician Assistant

Nicole Russell, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Roslyn, New York. Her current practice location is 100 Port Washington Blvd, Roslyn, New York. You can reach out to her office (for appointments etc.) via phone at (516) 562-6006.

Nicole Russell is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629753975.

Contact Information

	Nicole Russell, PA-C
	100 Port Washington Blvd, Roslyn, NY 11576-1347
	(516) 562-6006
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Russell
Gender	Female
Speciality	Physician Assistant - Surgical
Location	100 Port Washington Blvd, Roslyn, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629753975
Provider Enumeration Date: 06/15/2023
Last Update Date: 06/15/2023

Medicare PECOS Information:

PECOS PAC ID: 6002263530
Enrollment ID: I20231106001499

Medical Identifiers

Medical identifiers for Nicole Russell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629753975	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AS0400X	Physician Assistant - Surgical	(* (Not Available))	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. Nicole Russell 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 Address	Practice Location Address
Nicole Russell, PA-C 10 Lace Ln, Westbury, NY 11590-6315 Ph: (516) 319-7326	Nicole Russell, PA-C 100 Port Washington Blvd, Roslyn, NY 11576-1347 Ph: (516) 562-6006

Reviews and Comments

Physician Assistant Nurses in Roslyn, NY

Patrick Brennan, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Port Washington Blvd, Roslyn, NY 11576 Phone: 516-338-5358
Kenneth Zielinski, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Port Washington Blvd, Roslyn, NY 11576 Phone: 516-338-5358
Maria Angelica Sandoval, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Port Washington Blvd, Roslyn, NY 11576 Phone: 516-562-6000
Kimberly Sanford, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Port Washington Blvd, Roslyn, NY 11576 Phone: 516-562-6000
Garrett Chan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Port Washington Blvd, Roslyn, NY 11576 Phone: 516-562-6000
Winnie Deng, Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Port Washington Blvd, Roslyn, NY 11576 Phone: 516-562-6000
Mr. Ian Michael Goldin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Port Washington Blvd, Roslyn, NY 11576 Phone: 516-562-6199

Nicole Russell, PA-C - Medicare Physician Assistant in Roslyn, NY