Samantha M Greene, PA-C is a medicare enrolled "Physician Assistant" in N Little Rock, Arkansas. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Central Utah Clinic Pc and her current practice location is
11819 Maumelle Blvd, N Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(501) 771-9355.
Samantha M Greene is licensed to practice in * (Not Available) (license number PA-1293) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962876516.
Provider's Profile
| Full Name | Samantha M Greene |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 9 Years |
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| Location | 11819 Maumelle Blvd, N Little Rock, Arkansas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Samantha M Greene graduated from nursing school in 2015
NPI Data:
- NPI Number: 1962876516
- Provider Enumeration Date: 11/19/2015
- Last Update Date: 07/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274831920
- Enrollment ID: I20211227000974
Medical Identifiers
Medical identifiers for Samantha M Greene such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962876516 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA-1293 (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Central Utah Clinic Pc | 7517868508 | 386 |
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. Samantha M Greene 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 |
|---|
Samantha M Greene, PA-C
41 Jackson Loop,
Ward, AR 72176-8819
Ph: (757) 402-6166 | Samantha M Greene, PA-C
11819 Maumelle Blvd,
N Little Rock, AR 72113-6567
Ph: (501) 771-9355 |
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