| Corey Edward Greene, PAC | |
|
40 Shae Ave Ste A, Chapmanville, WV 25508-9805 | |
| (304) 310-2261 | |
| (304) 310-2262 |
| Full Name | Corey Edward Greene |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 40 Shae Ave Ste A, Chapmanville, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174828867 | NPI | - | NPPES |
| 3810020048 | Medicaid | WV | |
| 1174828867 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 01532 (West Virginia) | Secondary |
| 363A00000X | Physician Assistant | 679 (West Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Corey Edward Greene, PAC 40 Shae Ave Ste A, Chapmanville, WV 25508-9805 Ph: (304) 310-2261 | Corey Edward Greene, PAC 40 Shae Ave Ste A, Chapmanville, WV 25508-9805 Ph: (304) 310-2261 |
Mrs. Victoria Nicole Ellis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Vance St, Chapmanville, WV 25508 Phone: 304-855-0425 Fax: 304-855-0427 | |
Deanna Rae Pauley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 Main Street, Chapmanville, WV 25508 Phone: 304-688-9901 Fax: 304-688-9904 |