Natasha Eloise Greendyk, PA-C is a medicare enrolled "Physician Assistant" in West Milford, New Jersey. Her current practice location is
13 Glennon Rd, West Milford, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 800-4351.
Natasha Eloise Greendyk is licensed to practice in New Jersey (license number 25MP00309400) 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 1073953048.
Provider's Profile
Full Name | Natasha Eloise Greendyk |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 13 Glennon Rd, West Milford, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073953048
- Provider Enumeration Date: 07/05/2013
- Last Update Date: 08/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 8123259025
- Enrollment ID: I20140318000462
Medical Identifiers
Medical identifiers for Natasha Eloise Greendyk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073953048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 25MP00309400 (New Jersey) | 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. Natasha Eloise Greendyk 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 |
Natasha Eloise Greendyk, PA-C Po Box 416457, Boston, MA 02241-6457 Ph: (844) 362-1735 | Natasha Eloise Greendyk, PA-C 13 Glennon Rd, West Milford, NJ 07480-2708 Ph: (973) 800-4351 |
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