Jonathan Russell Green, PA-C is a medicare enrolled "Physician Assistant" physician in Baltimore, Maryland. He went to George Washington University School Of Medicine and graduated in 2024 and has 1 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Johns Hopkins University and his current practice location is
1800 Orleans St, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at
(410) 955-5000.
Jonathan Russell Green is licensed to practice in Maryland (license number ) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1356181531.
Physician's Profile
| Full Name | Jonathan Russell Green |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 1800 Orleans St, Baltimore, Maryland |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jonathan Russell Green attended and graduated from George Washington University School Of Medicine in 2024
NPI Data:
- NPI Number: 1356181531
- Provider Enumeration Date: 05/28/2024
- Last Update Date: 08/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618417932
- Enrollment ID: I20240912002131
Medical Identifiers
Medical identifiers for Jonathan Russell Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1356181531 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | C0009439 (Maryland) | Secondary |
| 363A00000X | Physician Assistant | (Maryland) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Johns Hopkins University | 8921903147 | 2699 |
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. Jonathan Russell 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 |
Jonathan Russell Green, PA-C 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: () - | Jonathan Russell Green, PA-C 1800 Orleans St, Baltimore, MD 21287-0010 Ph: (410) 955-5000 |
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