Tommia Simone Green, RN is a
Registered Nurse based in Rotterdam, New York. Tommia Simone Green is licensed to practice in New York (license number 619298) and her current practice location is
309 Christine Ln, Rotterdam, New York. She can be reached at her office (for appointments etc.) via phone at
(518) 630-8156.
NPI number for Tommia Simone Green is 1952909384 and her current mailing address is 309 Christine Ln, Rotterdam, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952909384.
Provider's Profile
| Full Name | Tommia Simone Green |
|---|
| Gender | Female |
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| Speciality | Registered Nurse |
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| Location | 309 Christine Ln, Rotterdam, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1952909384
- Provider Enumeration Date: 10/16/2020
- Last Update Date: 10/16/2020
Medical Identifiers
Medical identifiers for Tommia Simone Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952909384 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 619298 (New York) | 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. Tommia Simone 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 |
|---|
Tommia Simone Green, RN
309 Christine Ln,
Rotterdam, NY 12306-1800
Ph: () - | Tommia Simone Green, RN
309 Christine Ln,
Rotterdam, NY 12306-1800
Ph: (518) 630-8156 |
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