Mr Charles Henry Greene Iii, MS, PT, ATC is a
Specialist/technologist - Athletic Trainer based in Albany, Missouri. Mr Charles Henry Greene Iii is licensed to practice in Missouri (license number 1068862) and his current practice location is
203 S Polk St, Albany, Missouri. He can be reached at his office (for appointments etc.) via phone at
(660) 726-5762.
NPI number for Mr Charles Henry Greene Iii is 1073554986 and his current mailing address is 203 S Polk St, Albany, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1073554986.
Healthcare Provider's Profile
| Full Name | Mr Charles Henry Greene Iii |
|---|
| Gender | Male |
|---|
| Speciality | Specialist/technologist - Athletic Trainer |
|---|
| Location | 203 S Polk St, Albany, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073554986
- Provider Enumeration Date: 06/10/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Charles Henry Greene Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073554986 | NPI | - | NPPES |
| 25783024 | Other | MO | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 104902 (Missouri) | Primary |
| 225100000X | Physical Therapist | 1101879 (Kansas) | Primary |
| 2251S0007X | Physical Therapist - Sports | 104902 (Missouri) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | 1068862 (Missouri) | 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. Mr Charles Henry Greene Iii 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 |
|---|
Mr Charles Henry Greene Iii, MS, PT, ATC
203 S Polk St,
Albany, MO 64402-1618
Ph: (660) 726-5762 | Mr Charles Henry Greene Iii, MS, PT, ATC
203 S Polk St,
Albany, MO 64402-1618
Ph: (660) 726-5762 |
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