Michael D Green, PA-C is a
Physician Assistant based in Sophia, West Virginia. Michael D Green is licensed to practice in Washington (license number ) and his current practice location is
410 West Main Street, Sophia, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 683-4304.
NPI number for Michael D Green is 1699898882 and his current mailing address is 217 Wood St, Beckley, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699898882.
Provider's Profile
| Full Name | Michael D Green |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 410 West Main Street, Sophia, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699898882
- Provider Enumeration Date: 04/10/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Michael D Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699898882 | NPI | - | NPPES |
| 1040471 | Other | WV | NCCPA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (Washington) | 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. Michael D 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 |
|---|
Michael D Green, PA-C
217 Wood St,
Beckley, WV 25801-4856
Ph: (304) 252-2856 | Michael D Green, PA-C
410 West Main Street,
Sophia, WV 25921
Ph: (304) 683-4304 |
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