Jonathan Russell Green, PA-C is a
Physician Assistant physician based in Baltimore, Maryland. Jonathan Russell Green is licensed to practice in Maryland (license number ) and his current practice location is 1800 Orleans St, Baltimore, Maryland. He can be reached at his office (for appointments etc.) via phone at
(410) 955-5000.
NPI number for Jonathan Russell Green is 1356181531 and his current mailing address is 6201 Greenleigh Ave, Middle River, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356181531.
Physician's Profile
Full Name | Jonathan Russell Green |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1800 Orleans St, Baltimore, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356181531
- Provider Enumeration Date: 05/28/2024
- Last Update Date: 08/21/2024
Medical Identifiers
Medical identifiers for Jonathan Russell Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356181531 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | C0009439 (Maryland) | Secondary |
363A00000X | Physician Assistant | (Maryland) | Primary |
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. Jonathan Russell Green is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jonathan Russell Green, PA-C 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: () - | Jonathan Russell Green, PA-C 1800 Orleans St, Baltimore, MD 21287-0010 Ph: (410) 955-5000 |
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