| Courtney Green, | |
|
1130 Annapolis Rd Ste 100, Odenton, MD 21113-1622 | |
| (757) 969-7591 | |
| Not Available |
| Full Name | Courtney Green |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1130 Annapolis Rd Ste 100, Odenton, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457993222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C0007676 (Maryland) | Primary |
| Entity Name | Greater Maryland Pain Management LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710312723 PECOS PAC ID: 4486881513 Enrollment ID: O20131218000234 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Green, 8 Volunteer Trl, Poquoson, VA 23662-1049 Ph: Not Available | Courtney Green, 1130 Annapolis Rd Ste 100, Odenton, MD 21113-1622 Ph: (757) 969-7591 |
Ligaya Anghela V Narbay, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1130 Annapolis Rd Ste 100, Odenton, MD 21113 Phone: 410-777-1881 |
Susan Arnold, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1110 Annapolis Rd, Odenton, MD 21113 Phone: 443-351-3917 Fax: 443-351-3918 |
Julian Lee, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1130 Annapolis Rd Ste 100, Odenton, MD 21113 Phone: 410-672-2255 |
Alexandra Laurence, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1130 Annapolis Rd Ste 100, Odenton, MD 21113 Phone: 410-672-2255 |
Christina Marie Thurston, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1110 Annapolis Rd, Odenton, MD 21113 Phone: 443-351-3917 |
Amanda Maxine Alyndoh Mbi, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2671 Rainy Spring Ct, Odenton, MD 21113 Phone: 443-986-3253 |
Lilit Vardanyan, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1110 Annapolis Rd, Odenton, MD 21113 Phone: 443-351-3917 |