Tanya Renita Green, PA is a medicare enrolled "Physician Assistant" in Harris, New York. Her current practice location is
68 Harris Rd, Harris, New York. You can reach out to her office (for appointments etc.) via phone at
(845) 794-3300.
Tanya Renita Green is licensed to practice in Texas (license number PA06905) 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 1245279405.
Provider's Profile
Full Name | Tanya Renita Green |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 68 Harris Rd, Harris, New York |
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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: 1245279405
- Provider Enumeration Date: 06/05/2006
- Last Update Date: 07/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052359668
- Enrollment ID: I20071108000386
Medical Identifiers
Medical identifiers for Tanya Renita Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245279405 | NPI | - | NPPES |
2921863-00 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA06905 (Texas) | 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. Tanya Renita 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 |
Tanya Renita Green, PA Po Box 844658, Dallas, TX 75284-4658 Ph: () - | Tanya Renita Green, PA 68 Harris Rd, Harris, NY 12742-5030 Ph: (845) 794-3300 |
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