Frederick Samuel Greene, PAC is a
Physician Assistant based in Saint Paul Island, Alaska. Frederick Samuel Greene is licensed to practice in Alaska (license number AK212) and his current practice location is
1000 Polivenia Tpke, Saint Paul Island, Alaska. He can be reached at his office (for appointments etc.) via phone at
(907) 546-8300.
NPI number for Frederick Samuel Greene is 1639241110 and his current mailing address is Po Box 148, St Paul, Alaska. He
does not participate in medicare program and thus does not accept medicare assignments. 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 | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639241110
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 07/15/2014
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
NOT enrolled with medicare and thus cannot 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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