Tashe Clarice Green, FNP- C is a
Family Medicine based in Wimauma, Florida. Tashe Clarice Green is licensed to practice in Florida (license number 11023231) and her current practice location is
17344 White Mangrove Dr, Wimauma, Florida. She can be reached at her office (for appointments etc.) via phone at
(727) 688-0795.
NPI number for Tashe Clarice Green is 1255042396 and her current mailing address is 17344 White Mangrove Dr, Wimauma, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255042396.
Provider's Profile
Full Name | Tashe Clarice Green |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 17344 White Mangrove Dr, Wimauma, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1255042396
- Provider Enumeration Date: 12/09/2022
- Last Update Date: 12/09/2022
Medical Identifiers
Medical identifiers for Tashe Clarice Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255042396 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 11023231 (Florida) | Secondary |
207Q00000X | Family Medicine | 11023231 (Florida) | 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. Tashe Clarice Green is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tashe Clarice Green, FNP- C 17344 White Mangrove Dr, Wimauma, FL 33598-2402 Ph: (727) 688-0795 | Tashe Clarice Green, FNP- C 17344 White Mangrove Dr, Wimauma, FL 33598-2402 Ph: (727) 688-0795 |
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