Russell Phayre, FNP-BC in Bensalem, PA - Medicare Nurse Practitioner

Russell Phayre, FNP-BC is a medicare enrolled "Nurse Practitioner" in Bensalem, Pennsylvania. His current practice location is 3260 Tillman Dr Ste 120, Bensalem, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 305-8834.

Russell Phayre is licensed to practice in Pennsylvania (license number SP030398) 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 1952101420.

Contact Information

	Russell Phayre, FNP-BC
	3260 Tillman Dr Ste 120, Bensalem, PA 19020-2058
	(215) 305-8834
	Not Available

Map and Direction

Provider's Profile

Full Name	Russell Phayre
Gender	Male
Speciality	Nurse Practitioner
Location	3260 Tillman Dr Ste 120, Bensalem, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952101420
Provider Enumeration Date: 03/14/2025
Last Update Date: 03/14/2025

Medicare PECOS Information:

PECOS PAC ID: 5092231878
Enrollment ID: I20250424001423

Medical Identifiers

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

Identifier	Type	State	Issuer
1952101420	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP030398 (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 Phayre allows following entities to bill medicare on his behalf.

Entity Name	City Dermatology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134483274 PECOS PAC ID: 5496974776 Enrollment ID: O20140918001321

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 Phayre 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 Phayre, FNP-BC 3260 Tillman Dr Ste 120, Bensalem, PA 19020-2058 Ph: (215) 305-8834	Russell Phayre, FNP-BC 3260 Tillman Dr Ste 120, Bensalem, PA 19020-2058 Ph: (215) 305-8834

Reviews and Comments

Nurse Practitioner Nurses in Bensalem, PA

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Ms. Ramona E. Chase, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3200 Bensalem Blvd, Bensalem, PA 19020 Phone: 215-752-2370 Fax: 973-661-8333
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Russell Phayre, FNP-BC - Medicare Nurse Practitioner in Bensalem, PA