Noah Russell, is a
Physician Assistant based in Minot Air Force Base, North Dakota. Noah Russell is licensed to practice in New York (license number 029130) and his current practice location is
194 Missile Ave, Minot Air Force Base, North Dakota. He can be reached at his office (for appointments etc.) via phone at
(701) 723-5633.
NPI number for Noah Russell is 1235672114 and his current mailing address is 194 Missile Ave, Minot Air Force Base, North Dakota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235672114.
Provider's Profile
| Full Name | Noah Russell |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 194 Missile Ave, Minot Air Force Base, North Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1235672114
- Provider Enumeration Date: 11/28/2016
- Last Update Date: 01/16/2026
Medical Identifiers
Medical identifiers for Noah Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235672114 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 029130 (New York) | 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. Noah Russell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Noah Russell,
194 Missile Ave,
Minot Air Force Base, ND 58705
Ph: (701) 723-5633 | Noah Russell,
194 Missile Ave,
Minot Air Force Base, ND 58705
Ph: (701) 723-5633 |
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