| Maryellen E Greene, PA-C | |
|
1990 N Prospect Ave, Lecanto, FL 34461-9792 | |
| (352) 527-6888 | |
| (352) 527-8818 |
| Full Name | Maryellen E Greene |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 1990 N Prospect Ave, Lecanto, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669521001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA9104960 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Maryellen E Greene, PA-C 1990 N Prospect Ave, Lecanto, FL 34461-9792 Ph: (352) 527-6888 | Maryellen E Greene, PA-C 1990 N Prospect Ave, Lecanto, FL 34461-9792 Ph: (352) 527-6888 |
Melanie Davies, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1990 N Prospect Ave, Lecanto, FL 34461 Phone: 352-527-6888 Fax: 352-527-8818 | |
Kendel Vickers, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 N Avalon Way, Lecanto, FL 34461 Phone: 352-746-2663 Fax: 352-746-6907 | |
Mr. Brian Keith Bonomo, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 525 N Dacie Pt, Lecanto, FL 34461 Phone: 352-746-2200 Fax: 352-746-9320 | |
Shelby Miller Jenkins, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 N Avalon Way, Lecanto, FL 34461 Phone: 352-746-2663 Fax: 352-746-6907 | |
Matthew Witt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 N Avalon Way, Lecanto, FL 34461 Phone: 352-746-2663 | |
Angela White Kelley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1990 N Prospect Ave, Lecanto, FL 34461 Phone: 352-527-6888 Fax: 352-527-6888 | |
Tamra Renae Assumpcao, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1990 N Prospect Ave, Lecanto, FL 34461 Phone: 352-527-6888 Fax: 352-527-8818 |