Mr Gabriel Gustavo Greene I, PA-C in Knoxville, TN

Mr Gabriel Gustavo Greene I, PA-C is a medicare enrolled "Physician Assistant" in Knoxville, Tennessee. He went to Southern College Of Medicine And Surgery and graduated in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Statcare Outpatient Llc and his current practice location is 6473 Kingston Pike Ste 6473, Knoxville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (616) 459-4171.

Mr Gabriel Gustavo Greene I is licensed to practice in Tennessee (license number 4965) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1568114734.

Contact Information

	Mr Gabriel Gustavo Greene I, PA-C
	6473 Kingston Pike Ste 6473, Knoxville, TN 37919-4832
	(616) 459-4171
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Gabriel Gustavo Greene I
Gender	Male
Speciality	Physician Assistant
Experience	3 Years
Location	6473 Kingston Pike Ste 6473, Knoxville, Tennessee
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Gabriel Gustavo Greene I attended and graduated from Southern College Of Medicine And Surgery in 2021

NPI Data:

NPI Number: 1568114734
Provider Enumeration Date: 01/19/2022
Last Update Date: 05/31/2024

Medicare PECOS Information:

PECOS PAC ID: 6406243435
Enrollment ID: I20220421001950

Medical Identifiers

Medical identifiers for Mr Gabriel Gustavo Greene I such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568114734	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	4965 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Fort Sanders Regional Medical Center	Knoxville, TN	Hospital
Starr Regional Medical Center Athens	Athens, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Statcare Outpatient Llc	2264704055	33

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. Mr Gabriel Gustavo Greene I 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
Mr Gabriel Gustavo Greene I, PA-C Po Box 207830, Dallas, TX 75320-7830 Ph: (888) 412-2649	Mr Gabriel Gustavo Greene I, PA-C 6473 Kingston Pike Ste 6473, Knoxville, TN 37919-4832 Ph: (616) 459-4171

Reviews and Comments

Physician Assistant Nurses in Knoxville, TN

Michael Patrick Flynn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 501 20th St Ste 503, Knoxville, TN 37916 Phone: 865-331-4321 Fax: 865-331-4320
Dakotah Asher, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4629 Mill Branch Ln, Knoxville, TN 37938 Phone: 865-201-1756 Fax: 865-922-1659
Matthew Cox, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 280 Fort Sanders West Blvd Ste 101, Knoxville, TN 37922 Phone: 865-539-0270
Jess Lee Stockton, Physician Assistant Medicare: Medicare Enrolled Practice Location: 123 Fox Rd, Knoxville, TN 37922 Phone: 865-342-5823
Briana Roberts, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2001 Laurel Ave Ste 204, Knoxville, TN 37916 Phone: 865-673-0288
Cynthia E. Simmons, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7211 Wellington Dr, Suite 101, Knoxville, TN 37919 Phone: 865-558-9822
Mrs. Leslie I. Adams, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10430 Lovell Center Dr, Knoxville, TN 37922 Phone: 865-693-6882 Fax: 865-693-2909

Mr Gabriel Gustavo Greene I, PA-C - Medicare Physician Assistant in Knoxville, TN