Mrs Martha R Green, MS PAS PA-C is a medicare enrolled "Physician Assistant" physician in Summerville, South Carolina. Her current practice location is
75 Springview Ln, Summerville, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 832-5096.
Mrs Martha R Green is licensed to practice in South Carolina (license number 490) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043284946.
Physician's Profile
Full Name | Mrs Martha R Green |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 75 Springview Ln, Summerville, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043284946
- Provider Enumeration Date: 02/15/2006
- Last Update Date: 12/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991864613
- Enrollment ID: I20081110000202
Medical Identifiers
Medical identifiers for Mrs Martha R Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043284946 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 490 (South Carolina) | Secondary |
363A00000X | Physician Assistant | 490 (South Carolina) | 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. Mrs Martha R Green 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 |
Mrs Martha R Green, MS PAS PA-C 75 Springview Ln, Summerville, SC 29485-8154 Ph: (843) 832-5096 | Mrs Martha R Green, MS PAS PA-C 75 Springview Ln, Summerville, SC 29485-8154 Ph: (843) 832-5096 |
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