| Alyssa Green, MD | |
|
3401 N Broad St, Philadelphia, PA 19140-5103 | |
| (215) 707-5435 | |
| Not Available |
| Full Name | Alyssa Green |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 12 Years |
| Location | 3401 N Broad St, Philadelphia, Pennsylvania |
| 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 |
|---|---|---|---|
| 1811301351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD2019-0578 (New Mexico) | Primary |
| 207P00000X | Emergency Medicine | MT206584 (Pennsylvania) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Presbyterian Hospital | Albuquerque, NM | Hospital |
| Chinle Comprehensive Health Care Facility | Chinle, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Presbyterian Healthcare Services | 9234041708 | 1179 |
| Dhhs Phs Naihs Chinle Comprehensive Health Care Facility | 9436062585 | 146 |
| Entity Name | Presbyterian Healthcare Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104802354 PECOS PAC ID: 9234041708 Enrollment ID: O20031103000603 |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa Green, MD Po Box 26666, Provider Enrollment, Albuquerque, NM 87125-6666 Ph: (505) 923-6770 | Alyssa Green, MD 3401 N Broad St, Philadelphia, PA 19140-5103 Ph: (215) 707-5435 |
Dr. Rika N Omalley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526 | |
Rian John Pillitteri, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 230 N Broad St, Philadelphia, PA 19102 Phone: 215-762-7963 | |
Kenneth Kleckner, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5501 Old York Rd, Einstein Medical Center - Philadelphia, Philadelphia, PA 19141 Phone: 215-456-6679 Fax: 215-456-8502 | |
Dr. Shruti Chandra, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Sansom St, Suite 239, Philadelphia, PA 19107 Phone: 215-955-6844 Fax: 215-955-2526 | |
Ashley Bonsu, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-316-5151 | |
Anthony Joseph Nastasi Jr., MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Ground Silverstein Bldg, Philadelphia, PA 19104 Phone: 215-662-6698 Fax: 215-662-3953 | |
Richu Raju, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1316 W Ontario St, Philadelphia, PA 19140 Phone: 215-707-9837 Fax: 215-707-3494 |