Nicholas Tyler Russenberger, MPAS
Nicholas Tyler Russenberger, MPAS is a Physician Assistant in Buffalo, Oklahoma. Qualified in 2023, 3 years ago. Practices with Harper County Community Hospital, a 4-clinician group and accepts Medicare assignment. Licensed in Oklahoma.
- Years since qualifying
- 3
- Licensed in
- OK
- In the registry since
- 2023
Practice location Address checks out
1003 US Highway 64Buffalo, OK 73834-8912
Phone: (580) 735-2555
Fax: (580) 735-2574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5175 (OK) |
|---|
Record details
| NPI number | 1487435053 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MPAS |
| Sole proprietor | No |
| NPI enumerated | October 10, 2023 |
| Last updated in NPPES | October 10, 2023 |
| Certification date | October 10, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Harper County Community Hospital — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Buffalo
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Roberta L Daley, PA-C
1001 Hwy 64 N, Buffalo, OK 73834-0010 · (580) 735-2506