| Dr Amanda B Greene, DNP, NP-C | |
|
625 S Pear Orchard Rd, Ste B, Ridgeland, MS 39157-4836 | |
| (601) 499-0282 | |
| (601) 499-0347 |
| Full Name | Dr Amanda B Greene |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 625 S Pear Orchard Rd, Ridgeland, Mississippi |
| 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 |
|---|---|---|---|
| 1083040562 | NPI | - | NPPES |
| 08800015 | Medicaid | MS | |
| P01627831 | Other | MS | RAILROAD MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 870536 (Mississippi) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 870536 (Mississippi) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Mississippi Med Center | Jackson, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ms Care Clinic, Inc | 7113349812 | 4 |
| Entity Name | Ms Care Clinic, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376168500 PECOS PAC ID: 7113349812 Enrollment ID: O20200625002966 |
| Entity Name | Ridgeland Medical Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053917849 PECOS PAC ID: 9032524400 Enrollment ID: O20210217000175 |
| Entity Name | United Medical Wellness Complex Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255045324 PECOS PAC ID: 5092171710 Enrollment ID: O20230522002529 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Amanda B Greene, DNP, NP-C 625 S Pear Orchard Rd, Ste B, Ridgeland, MS 39157-4836 Ph: (601) 499-0282 | Dr Amanda B Greene, DNP, NP-C 625 S Pear Orchard Rd, Ste B, Ridgeland, MS 39157-4836 Ph: (601) 499-0282 |
Ebonique Martin Buckner, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 768 Avery Blvd N, Ridgeland, MS 39157 Phone: 601-487-6482 | |
Thomas Howington, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 786 Lake Harbour Dr, Ridgeland, MS 39157 Phone: 601-499-0022 | |
Mrs. Ana Evelia Recinos, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1107 Highland Colony Pkwy Ste 209, Ridgeland, MS 39157 Phone: 601-707-3737 | |
Kenneth Kaiser, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Professional Pkwy, Ridgeland, MS 39157 Phone: 601-856-2460 Fax: 601-856-4687 | |
Mrs. Michelle Hughes, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 768 Avery Blvd N, Ridgeland, MS 39157 Phone: 601-487-6482 | |
Ms. Barbara Ann Bradley, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 587 Highway 51 Ste T, Ridgeland, MS 39157 Phone: 601-790-7711 Fax: 601-790-7712 |