| Michelle Nickelatti Green, PA-C | |
|
2710 S Rife Medical Ln, Rogers, AR 72758-1452 | |
| (479) 338-8000 | |
| (479) 986-3448 |
| Full Name | Michelle Nickelatti Green |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 2710 S Rife Medical Ln, Rogers, Arkansas |
| 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 |
|---|---|---|---|
| 1972984953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA09869 (Texas) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA-1488 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor University Medical Center | Dallas, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healthtexas Provider Network | 1355254210 | 2507 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Nickelatti Green, PA-C Po Box 776084, Chicago, IL 60677-6084 Ph: (479) 338-8000 | Michelle Nickelatti Green, PA-C 2710 S Rife Medical Ln, Rogers, AR 72758-1452 Ph: (479) 338-8000 |
Amanda Marie Eichholz, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2710 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-381-2694 | |
Alexa Blaire Grand, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 S 52nd St, Rogers, AR 72758 Phone: 479-254-9662 Fax: 806-701-5845 | |
Kindle Diane Simon, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1000 S. 52nd St, Rogers, AR 72758 Phone: 479-271-9607 Fax: 479-271-2133 | |
Jaren Jurian Hernandez, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 2708 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-3030 Fax: 479-338-3079 | |
Debra Lou Tooker, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 808 S 52nd St, Rogers, AR 72758 Phone: 479-587-1700 Fax: 479-587-1366 | |
Reece Christopherson Martin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2710 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-8000 | |
Aaron Bradley Mullen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 199 N 34th St, Rogers, AR 72756 Phone: 479-845-7000 Fax: 479-525-5961 |