Mrs Martha R Green, MS PAS PA-C is a
Physician Assistant physician based in Summerville, South Carolina. Mrs Martha R Green is licensed to practice in South Carolina (license number 490) and her current practice location is 75 Springview Ln, Summerville, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 832-5096.
NPI number for Mrs Martha R Green is 1043284946 and her current mailing address is 75 Springview Ln, Summerville, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043284946.
Physician's Profile
| Full Name | Mrs Martha R Green |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
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| Location | 75 Springview Ln, Summerville, South Carolina |
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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: 1043284946
- Provider Enumeration Date: 02/15/2006
- Last Update Date: 12/01/2023
Medical Identifiers
Medical identifiers for Mrs Martha R Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043284946 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 490 (South Carolina) | Secondary |
| 363A00000X | Physician Assistant | 490 (South Carolina) | 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. Mrs Martha R 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 |
|---|
Mrs Martha R Green, MS PAS PA-C
75 Springview Ln,
Summerville, SC 29485-8154
Ph: (843) 832-5096 | Mrs Martha R Green, MS PAS PA-C
75 Springview Ln,
Summerville, SC 29485-8154
Ph: (843) 832-5096 |
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