Frederick Samuel Greene, PAC is a medicare enrolled "Physician Assistant" in Saint Paul Island, Alaska. His current practice location is
1000 Polivenia Tpke, Saint Paul Island, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 546-8300.
Frederick Samuel Greene is licensed to practice in Alaska (license number AK212) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639241110.
Provider's Profile
| Full Name | Frederick Samuel Greene |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 1000 Polivenia Tpke, Saint Paul Island, Alaska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1639241110
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 07/15/2014
Medicare PECOS Information:
- PECOS PAC ID: 6608825617
- Enrollment ID: I20081208000760
Medical Identifiers
Medical identifiers for Frederick Samuel Greene such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1639241110 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | AK212 (Alaska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Frederick Samuel Greene is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Frederick Samuel Greene, PAC Po Box 148, St Paul, AK 99660-0148 Ph: (907) 546-8300 | Frederick Samuel Greene, PAC 1000 Polivenia Tpke, Saint Paul Island, AK 99660 Ph: (907) 546-8300 |
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