| Jennifer Leann Green, PA-C | |
|
2045 W Grand Ave Ste B, Chicago, IL 60612-1577 | |
| (708) 630-1534 | |
| (888) 517-8619 |
| Full Name | Jennifer Leann Green |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 2045 W Grand Ave Ste B, Chicago, Illinois |
| 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 |
|---|---|---|---|
| 1033344742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 0010-01769 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Carolina Baptist Hospital | Winston-salem, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Carend Provider Group Pa | 2264827518 | 26 |
| Carend Provider Group Of New Jersey Pc | 4082082789 | 13 |
| Care Neurodegenerative Medical Of New York Pc | 7618329475 | 14 |
| Elizabeth Ferluga, M.d., P.c | 6608246194 | 16 |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Entity Name | Carend Provider Group PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962161315 PECOS PAC ID: 2264827518 Enrollment ID: O20250519000395 |
| Entity Name | Carend Provider Group of New Jersey PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891410494 PECOS PAC ID: 4082082789 Enrollment ID: O20250721001605 |
| Entity Name | Elizabeth Ferluga, M.D., P.c |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720703325 PECOS PAC ID: 6608246194 Enrollment ID: O20250818003177 |
| Entity Name | Care Neurodegenerative Medical of New York PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295417632 PECOS PAC ID: 7618329475 Enrollment ID: O20251001000172 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Leann Green, PA-C 3741 Will Scarlet Rd, Winston Salem, NC 27104-1648 Ph: (252) 414-0881 | Jennifer Leann Green, PA-C 2045 W Grand Ave Ste B, Chicago, IL 60612-1577 Ph: (708) 630-1534 |
Jeremy Larva, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St Fl 13, Chicago, IL 60611 Phone: 312-695-6800 Fax: 312-695-2772 |
Ms. Rose F. Ali, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 659 W Washington Blvd, Chicago, IL 60661 Phone: 312-707-8988 Fax: 312-707-9223 |
Marina Gershteyn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5600 W Addison St Ste 306, Chicago, IL 60634 Phone: 773-283-8664 Fax: 773-283-8688 |
Kelly M Hoyert, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1740 W Taylor St, 3f Occ, Chicago, IL 60612 Phone: 312-355-4300 Fax: 312-413-1206 |
Gabriela A Cortez, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4646 N Marine Dr Ste C6100, Chicago, IL 60640 Phone: 773-564-6025 Fax: 773-564-6026 |
Maria Uhler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 635 N Dearborn St, Chicago, IL 60654 Phone: 312-694-2273 |
Emily Daley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 939 W North Ave Ste 650, Chicago, IL 60642 Phone: 773-377-8000 |