| Mark S Green, PA | |
|
1847 S Lake Dr, Lexington, SC 29073-7759 | |
| (803) 356-8998 | |
| Not Available |
| Full Name | Mark S Green |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 36 Years |
| Location | 1847 S Lake Dr, Lexington, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396736336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 560 (South Carolina) | Primary |
| 363A00000X | Physician Assistant | 002321 (Georgia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prisma Health Urgent Care Of South Carolina Pc | 1254703788 | 158 |
| Entity Name | Sound Physicians Emergency Medicine of South Carolina LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730636168 PECOS PAC ID: 2163702739 Enrollment ID: O20161219000460 |
| Entity Name | Prisma Health Urgent Care of South Carolina PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851000855 PECOS PAC ID: 1254703788 Enrollment ID: O20230210000249 |
| Entity Name | Novant Health Urgent Cares LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841026382 PECOS PAC ID: 8628502598 Enrollment ID: O20241114002376 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark S Green, PA Po Box 749306, Atlanta, GA 30374-9306 Ph: Not Available | Mark S Green, PA 1847 S Lake Dr, Lexington, SC 29073-7759 Ph: (803) 356-8998 |
Anastasiya Chumanevich, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 508 Plymouth Pass Dr, Lexington, SC 29072 Phone: 803-514-8201 |
Jayne Alyssa Koehler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 122 Powell Dr, Lexington, SC 29072 Phone: 803-957-8400 Fax: 803-957-1939 |
Marissa Mitter, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Po Box 487, Lexington, SC 29071 Phone: 803-699-9073 Fax: 866-527-0937 |
Maya Nassim Bougebrayel, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 104 Saluda Pointe Dr, Lexington, SC 29072 Phone: 803-296-7846 Fax: 803-296-9699 |
Mr. Thomas John Daley, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 104 Saluda Pointe Dr, Lexington, SC 29072 Phone: 803-296-7846 |
Miss Kaylie Marie Stamco, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1847 S Lake Dr, Lexington, SC 29073 Phone: 803-356-8998 |
Alexandra Lee Seale, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 104 Saluda Pointe Dr, Lexington, SC 29072 Phone: 803-296-7846 Fax: 803-296-9699 |