| Emery Green, PA-C | |
|
700 W Grove St, El Dorado, AR 71730-4416 | |
| (870) 864-3391 | |
| Not Available |
| Full Name | Emery Green |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 700 W Grove St, El Dorado, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417246794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA.200434 (Louisiana) | Secondary |
| 363A00000X | Physician Assistant | PA-441 (Arkansas) | Primary |
| Entity Name | South Arkansas Emergency Physicians LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942435458 PECOS PAC ID: 4486705720 Enrollment ID: O20090629000005 |
| Entity Name | CHI St Vincent Hospital Hot Springs |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1790723021 PECOS PAC ID: 1153231758 Enrollment ID: O20141120001717 |
| Entity Name | Ess of El Dorado, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861851131 PECOS PAC ID: 8325345432 Enrollment ID: O20160404001667 |
| Entity Name | Concord Company of Arkansas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457833014 PECOS PAC ID: 4082968623 Enrollment ID: O20181116001225 |
| Entity Name | Concord Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20190325001423 |
| Entity Name | Hcc of El Dorado LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003578725 PECOS PAC ID: 1850789488 Enrollment ID: O20211101000418 |
| Mailing Address | Practice Location Address |
|---|---|
| Emery Green, PA-C 700 W Grove St, El Dorado, AR 71730-4416 Ph: (870) 864-3391 | Emery Green, PA-C 700 W Grove St, El Dorado, AR 71730-4416 Ph: (870) 864-3391 |
Candace Stringer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Grady Bell Rd, El Dorado, AR 71730 Phone: 870-918-7414 |
Jordan Taylor Ford, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 S Timberlane Dr, El Dorado, AR 71730 Phone: 870-862-2400 |