| Mr Russell White, PA | |
|
1950 Bluewater Blvd, Suite 100, Niceville, FL 32578-3887 | |
| (850) 897-8081 | |
| (850) 897-1520 |
| Full Name | Mr Russell White |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 1950 Bluewater Blvd, Niceville, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508306473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 9110128 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Twin Cities Hospital | Niceville, FL | Hospital |
| Sacred Heart Hospital On The Emerald Coast | Miramar beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Florida Surgeons, Pa | 2769381391 | 316 |
| Mailing Address | Practice 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 |
Amanda Michelle Outly, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2001 E. Highway 20, Family Medicine Department, Niceville, FL 32578 Phone: 850-897-6600 Fax: 850-897-0623 | |
Mrs. Amy M. Drab, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2600 Partin Dr N Ste 110, Niceville, FL 32578 Phone: 850-517-6578 Fax: 850-810-5488 | |
Allison Sue Herman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 550 Hwy 85, Suite A, Niceville, FL 32578 Phone: 850-517-9041 | |
Mr. William H Diamond Jr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4566 E Highway 20 Ste 101, Niceville, FL 32578 Phone: 850-897-7546 | |
Leah Tedder, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2190 Highway 85 N, Niceville, FL 32578 Phone: 850-729-9490 | |
Gregory Brent Archer, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 550-a Twin Cities Boulevard, Orthopaedic And Spine Surgery Center, Niceville, FL 32578 Phone: 850-729-1444 | |
Harry F Johnson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 550 Twin Cities Blvd, Suite A, Niceville, FL 32578 Phone: 850-729-1444 Fax: 850-729-0300 |