| Corey Edward Greene, PAC | |
|
40 Shae Ave Ste A, Chapmanville, WV 25508-9805 | |
| (304) 310-2261 | |
| (304) 310-2262 |
| Full Name | Corey Edward Greene |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 16 Years |
| Location | 40 Shae Ave Ste A, Chapmanville, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174828867 | NPI | - | NPPES |
| 3810020048 | Medicaid | WV | |
| 1174828867 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 01532 (West Virginia) | Secondary |
| 363A00000X | Physician Assistant | 679 (West Virginia) | Primary |
| Entity Name | Lincoln County Primary Care Center Inc |
|---|---|
| Entity Type | Part B Supplier - Public Health/welfare Agency |
| Entity Identifiers | NPI Number: 1942274543 PECOS PAC ID: 6204821879 Enrollment ID: O20040415000138 |
| Entity Name | Greene Skin and Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225817802 PECOS PAC ID: 1052762432 Enrollment ID: O20240110002192 |
| Mailing Address | Practice Location Address |
|---|---|
| Corey Edward Greene, PAC 40 Shae Ave Ste A, Chapmanville, WV 25508-9805 Ph: (304) 310-2261 | Corey Edward Greene, PAC 40 Shae Ave Ste A, Chapmanville, WV 25508-9805 Ph: (304) 310-2261 |
Mrs. Victoria Nicole Ellis, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Vance St, Chapmanville, WV 25508 Phone: 304-855-0425 Fax: 304-855-0427 |
Deanna Rae Pauley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 555 Main Street, Chapmanville, WV 25508 Phone: 304-688-9901 Fax: 304-688-9904 |