| Ms Katie E Green, PA-C | |
|
457 Jack Martin Blvd., Brick, NJ 08724 | |
| (732) 840-7500 | |
| (732) 840-2088 |
| Full Name | Ms Katie E Green |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 15 Years |
| Location | 457 Jack Martin Blvd., Brick, New Jersey |
| 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 |
|---|---|---|---|
| 1679853634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 014932-1 (New York) | Secondary |
| 363A00000X | Physician Assistant | 25MP00367400 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ocean University Medical Center | Brick, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Owen Carolan Md Llc | 3870683634 | 3 |
| Entity Name | Rothman Orthopaedics of New Jersey, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215978630 PECOS PAC ID: 6709864846 Enrollment ID: O20040713001385 |
| Entity Name | Malek Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205873601 PECOS PAC ID: 6103858824 Enrollment ID: O20050914000767 |
| Entity Name | Owen Carolan MD LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437341526 PECOS PAC ID: 3870683634 Enrollment ID: O20071217000396 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Katie E Green, PA-C 457 Jack Martin Blvd., Brick, NJ 08724 Ph: (732) 840-7500 | Ms Katie E Green, PA-C 457 Jack Martin Blvd., Brick, NJ 08724 Ph: (732) 840-7500 |
Yohana Revelo-umana, Physician Assistant Medicare: Medicare Enrolled Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-840-2200 Fax: 732-922-6026 |
Samantha Bangs, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 478 Brick Blvd, Brick, NJ 08723 Phone: 732-701-4848 |
Michelle Van Lommel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-840-2200 |
William Garry, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-840-2200 |
Brenda Cabrera Vicens, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 425 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-202-1500 |
Danielle Christina Bellia, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1610 Route 88 Fl 3, Brick, NJ 08724 Phone: 732-295-6543 Fax: 732-295-6204 |
Zyanya Flores, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 446 Jack Martin Blvd, Brick, NJ 08724 Phone: 732-840-4300 Fax: 732-840-4515 |