| Russell Nicoll, PA | |
| 
					6501 E Greenway Pkwy, Scottsdale, AZ 85254-2065  | |
| (480) 948-3314 | |
| (480) 948-3588 | 
| Full Name | Russell Nicoll | 
|---|---|
| Gender | Male | 
| Speciality | Physician Assistant | 
| Location | 6501 E Greenway Pkwy, Scottsdale, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619922341 | NPI | - | NPPES | 
| 711962 | Medicaid | AZ | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363A00000X | Physician Assistant | 2565 (Arizona) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Russell Nicoll, PA 1250 S Clearview Ave Ste 100, Mesa, AZ 85209-3378 Ph: (480) 988-9108  | Russell Nicoll, PA 6501 E Greenway Pkwy, Scottsdale, AZ 85254-2065 Ph: (480) 948-3314  | 
Brandon Paige, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3126 N Civic Center Plz, Scottsdale, AZ 85251 Phone: 480-874-2040  | |
Abigail Cottrell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000  | |
Mr. Roberto Bobby Alexander Jr., PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3126 N Civic Center Plz, Scottsdale, AZ 85251 Phone: 480-874-2040 Fax: 480-874-2041  | |
Ms. Jessica Irene Sazdoff, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 9700 N 91st St, Suite C-200, Scottsdale, AZ 85258 Phone: 480-425-5063 Fax: 480-425-5010  | |
Amber N Brooks-gumbert, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000  | |
Orland Kenton Boucher, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000  | |
Lori L Gushue, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000  |