Mrs Teresa Deshawn Green, PHYSICIAN ASSISTANT in Owasso, OK

Mrs Teresa Deshawn Green, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" in Owasso, Oklahoma. Her current practice location is 8422 N 123rd East Ave, Owasso, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 293-2140.

Mrs Teresa Deshawn Green is licensed to practice in Oklahoma (license number 2962) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295700425.

Contact Information

	Mrs Teresa Deshawn Green, PHYSICIAN ASSISTANT
	8422 N 123rd East Ave, Owasso, OK 74055-2130
	(918) 293-2140
	(918) 712-7164

Map and Direction

Provider's Profile

Full Name	Mrs Teresa Deshawn Green
Gender	Female
Speciality	Physician Assistant
Location	8422 N 123rd East Ave, Owasso, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295700425
Provider Enumeration Date: 02/21/2006
Last Update Date: 05/31/2023

Medicare PECOS Information:

PECOS PAC ID: 7810979614
Enrollment ID: I20141222002285

Medical Identifiers

Medical identifiers for Mrs Teresa Deshawn Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295700425	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA031082 (District Of Columbia)	Secondary
363A00000X	Physician Assistant	C0003136 (Maryland)	Secondary
363AM0700X	Physician Assistant - Medical	C5-0000491 (Delaware)	Secondary
363A00000X	Physician Assistant	2962 (Oklahoma)	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. Mrs Teresa Deshawn Green 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
Mrs Teresa Deshawn Green, PHYSICIAN ASSISTANT 8422 N 123rd East Ave, Owasso, OK 74055-2130 Ph: (918) 858-4353	Mrs Teresa Deshawn Green, PHYSICIAN ASSISTANT 8422 N 123rd East Ave, Owasso, OK 74055-2130 Ph: (918) 293-2140

Reviews and Comments

Physician Assistant Nurses in Owasso, OK

Marilyn Sue Taylor, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 9500 N 129th East Ave, Owasso, OK 74055 Phone: 918-858-4353 Fax: 866-246-2942
Jacob Ryan Batterton, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 9805 N 102nd East Ave, Owasso, OK 74055 Phone: 918-852-6349
Kassidy Hamilton, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9003 N Garnett Rd, Owasso, OK 74055 Phone: 918-272-2882
Heath Brandon Welton, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 13616 E 103rd St N, Ste A, Owasso, OK 74055 Phone: 918-274-8555 Fax: 918-274-8556
David Stoll, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10512 N 110th East Ave, Ste 220, Owasso, OK 74055 Phone: 918-376-8959 Fax: 918-376-8999
Tailor Hastings, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9003 N Garnett Rd, Owasso, OK 74055 Phone: 918-272-2882

Mrs Teresa Deshawn Green, PHYSICIAN ASSISTANT - Medicare Physician Assistant in Owasso, OK