| Jade Rickia Green, | |
|
1417 Old York Rd, Suite 102, Abington, PA 19001-2313 | |
| (267) 275-5928 | |
| Not Available |
| Full Name | Jade Rickia Green |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1417 Old York Rd, Abington, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306516380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP024409 (Pennsylvania) | Primary |
| Entity Name | Green Wellness Np In Family Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023718533 PECOS PAC ID: 5294275210 Enrollment ID: O20240905001129 |
| Entity Name | Circle Medical Care Of New York Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780425447 PECOS PAC ID: 0749710465 Enrollment ID: O20250211002364 |
| Mailing Address | Practice Location Address |
|---|---|
| Jade Rickia Green, 7244 Castor Ave # 1047, Philadelphia, PA 19149-1109 Ph: () - | Jade Rickia Green, 1417 Old York Rd, Suite 102, Abington, PA 19001-2313 Ph: (267) 275-5928 |
Andriy Bashta, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Old York Rd, Abington, PA 19001 Phone: 215-481-3145 | |
Lisa Juarez, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Old York Road, Dixon Building Ste 201, Abington, PA 19001 Phone: 215-481-6839 Fax: 215-481-3515 | |
Nancy Deangelis, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1245 Highland Ave, Suite #308, Abington, PA 19001 Phone: 215-481-5450 Fax: 215-481-5435 | |
Phu A Dinh, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 Old York Rd, Abington, PA 19001 Phone: 215-481-2000 | |
Cindy L Wade, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Old York Rd, Abington, PA 19001 Phone: 215-481-2000 | |
Victoria Damico, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Old York Rd, Abington, PA 19001 Phone: 215-481-2000 | |
Patricia Bussinger, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Old York Rd, Abington, PA 19001 Phone: 215-481-3145 |