Russell Paul Nycum, PMHNP-BC in Altoona, PA - Medicare Nurse Practitioner

Russell Paul Nycum, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Altoona, Pennsylvania. His current practice location is 620 Howard Ave, Altoona, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 889-4189.

Russell Paul Nycum is licensed to practice in Pennsylvania (license number SP025550) 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 1427793975.

Contact Information

	Russell Paul Nycum, PMHNP-BC
	620 Howard Ave, Altoona, PA 16601-4804
	(814) 889-4189
	Not Available

Map and Direction

Provider's Profile

Full Name	Russell Paul Nycum
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	620 Howard Ave, Altoona, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427793975
Provider Enumeration Date: 04/29/2022
Last Update Date: 04/29/2022

Medicare PECOS Information:

PECOS PAC ID: 7315324332
Enrollment ID: I20220512002655

Medical Identifiers

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

Identifier	Type	State	Issuer
1427793975	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	SP025550 (Pennsylvania)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Russell Paul Nycum allows following entities to bill medicare on his behalf.

Entity Name	Upmc Altoona
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760567283 PECOS PAC ID: 8426962465 Enrollment ID: O20040406001006

Entity Name	Adara Healthcare Staffing, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215285515 PECOS PAC ID: 8527448356 Enrollment ID: O20220711000625

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. Russell Paul Nycum 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
Russell Paul Nycum, PMHNP-BC 267 Park Heights Rd, Bedford, PA 15522-3875 Ph: () -	Russell Paul Nycum, PMHNP-BC 620 Howard Ave, Altoona, PA 16601-4804 Ph: (814) 889-4189

Reviews and Comments

Nurse Practitioner Nurses in Altoona, PA

Erin M Yesenosky, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1701 12th Ave, Altoona, PA 16601 Phone: 814-942-9600 Fax: 814-942-9617
Jessica Lyn Cherry, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 Howard Ave, Altoona, PA 16601 Phone: 814-942-5000 Fax: 914-942-9500
Devin Lee Petulla, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 222 Chestnut Ave, Altoona, PA 16601 Phone: 814-946-8046 Fax: 814-946-3693
Robyn J Daniels, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 620 Howard Ave, Op-2, Altoona, PA 16601 Phone: 814-889-6980 Fax: 814-889-6994
Joshua Mahute, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 Howard Ave, Altoona, PA 16601 Phone: 814-889-3089
Jason Zimmerman, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2907 Pleasant Valley Blvd, Altoona, PA 16602 Phone: 814-943-8164
Andrea Runk, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 620 Howard Ave, Op302, Altoona, PA 16601 Phone: 814-889-2011

Russell Paul Nycum, PMHNP-BC - Medicare Nurse Practitioner in Altoona, PA