Tammy S Green, ANP | |
505 Sycamore St, Rison, AR 71665-7166 | |
(870) 325-6255 | |
(870) 325-6117 |
Full Name | Tammy S Green |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 505 Sycamore St, Rison, Arkansas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639513609 | NPI | - | NPPES |
20583958 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | A003870 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Jefferson Regional Medical Center | Pine bluff, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mainline Health Systems, Inc | 5193785590 | 47 |
Entity Name | St Bernards Physician Clinics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447923438 PECOS PAC ID: 7012311269 Enrollment ID: O20210810001875 |
Mailing Address | Practice Location Address |
---|---|
Tammy S Green, ANP Po Box 509, Dermott, AR 71638-0509 Ph: (870) 538-5414 | Tammy S Green, ANP 505 Sycamore St, Rison, AR 71665-7166 Ph: (870) 325-6255 |
Mrs. Kimberly Michelle Rawls, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 505 Sycamore Street, Rison, AR 71665 Phone: 870-325-6255 | |
Lauren Leopard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 217 N Main St, Rison, AR 71665 Phone: 888-264-5034 Fax: 870-856-2164 | |
Alisha Engelkes, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 217 N Main St, Rison, AR 71665 Phone: 888-264-5034 Fax: 870-895-2164 |