| Michael Allen Greene, PA-C | |
|
16001 W 9 Mile Rd, Southfield, MI 48075-4818 | |
| (248) 849-3994 | |
| (248) 849-5819 |
| Full Name | Michael Allen Greene |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 16001 W 9 Mile Rd, Southfield, Michigan |
| 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 |
|---|---|---|---|
| 1447485180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 5601005492 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lake Huron Medical Center | Port huron, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ihp Mi Emergency Medicine Pllc | 2365821634 | 42 |
| Inhospital Physicians Michigan Pllc | 5991208407 | 19 |
| Entity Name | Henry Ford Health Providence Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942265236 PECOS PAC ID: 6103738703 Enrollment ID: O20031103000326 |
| Entity Name | Independent Emergency Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780791343 PECOS PAC ID: 6709798325 Enrollment ID: O20031103000407 |
| Entity Name | Henry Ford Health Macomb Oakland Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134176472 PECOS PAC ID: 7315859725 Enrollment ID: O20031107000047 |
| Entity Name | Independent Observation Physicians PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700119500 PECOS PAC ID: 3577603604 Enrollment ID: O20091221000327 |
| Entity Name | Ihp Mi Emergency Medicine PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861147456 PECOS PAC ID: 2365821634 Enrollment ID: O20220616000277 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Allen Greene, PA-C 682 Dorchester Dr Apt 182, Rochester Hills, MI 48307-4038 Ph: (248) 379-1551 | Michael Allen Greene, PA-C 16001 W 9 Mile Rd, Southfield, MI 48075-4818 Ph: (248) 849-3994 |
Alexa Chris Jarboa, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 21311 Civic Center Dr, Southfield, MI 48076 Phone: 248-881-9800 |
Alexandria Sheree Romero, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16500 N Park Dr Apt 1806, Southfield, MI 48075 Phone: 209-777-1245 |
Amy G. Connolly, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 22255 Greenfield Rd Ste 590, Southfield, MI 48075 Phone: 248-849-4990 Fax: 248-849-4991 |
Mr. Gary Girard Errigo, PA C Physician Assistant Medicare: Medicare Enrolled Practice Location: 17515 W Nine Mile Road, Suite 340, Southfield, MI 48075 Phone: 248-569-2695 Fax: 248-569-7250 |
Elizabeth Kowynia, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 29405 Greenfield Rd, Southfield, MI 48076 Phone: 248-983-5330 Fax: 248-327-7482 |
Mrs. Amanda Jane Marcozzi, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16001 W 9 Mile Rd, Southfield, MI 48075 Phone: 248-849-3000 |
Ms. Eleanor Rachael Wiedeman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 26025 Lahser Rd Fl 2, Southfield, MI 48033 Phone: 248-663-1900 Fax: 844-598-9633 |