| Andrea C Green, PA-C | |
|
711 Medical Village Dr, Edgewood, KY 41017-3439 | |
| (859) 287-3045 | |
| (859) 578-3800 |
| Full Name | Andrea C Green |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 22 Years |
| Location | 711 Medical Village Dr, Edgewood, Kentucky |
| 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 |
|---|---|---|---|
| 1356328231 | NPI | - | NPPES |
| 0077725 | Medicaid | OH | |
| 95006151 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10004353A (Indiana) | Secondary |
| 363A00000X | Physician Assistant | PA900 (Kentucky) | Primary |
| 363A00000X | Physician Assistant | 55001096 (Ohio) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Elizabeth Medical Center North | Edgewood, KY | Hospital |
| St Elizabeth Florence | Florence, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Summit Medical Group Inc | 2163326240 | 803 |
| St Elizabeth Medical Center, Inc | 0648174623 | 187 |
| St Elizabeth Medical Center, Inc | 0648174623 | 187 |
| Entity Name | Summit Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750343216 PECOS PAC ID: 2163326240 Enrollment ID: O20031120000738 |
| Entity Name | St Elizabeth Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932187937 PECOS PAC ID: 0648174623 Enrollment ID: O20031121000206 |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea C Green, PA-C Po Box 636324, Cincinnati, OH 45263-6324 Ph: (859) 287-3045 | Andrea C Green, PA-C 711 Medical Village Dr, Edgewood, KY 41017-3439 Ph: (859) 287-3045 |
Mrs. Courtney E Coffey, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-9010 Fax: 859-301-9018 |
Mr. Spencer Herbert Cole, MPAS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 560 S Loop Rd, Edgewood, KY 41017 Phone: 859-301-2663 Fax: 659-301-0655 |
Deborah Joy Barnett, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr, Edgewood, KY 41017 Phone: 859-578-5880 Fax: 859-578-5881 |
Miss Casey Lynn Doty, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 20 Medical Village Dr # 254, Edgewood, KY 41017 Phone: 859-344-1600 Fax: 859-344-0091 |
Catherine Kremer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 560 S Loop Rd, Edgewood, KY 41017 Phone: 859-301-2663 Fax: 859-817-7848 |
Mr. Matthew Giese, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 560 S Loop Rd, Edgewood, KY 41017 Phone: 859-301-2663 Fax: 859-301-0655 |
Ryan Crail, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Village Dr, Edgewood, KY 41017 Phone: 859-301-2000 Fax: 859-301-6910 |