| Nichole Green, PA | |
|
535 Main St, Olean, NY 14760-1513 | |
| (716) 372-0141 | |
| (716) 372-6421 |
| Full Name | Nichole Green |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 535 Main St, Olean, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376535393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 008480 (New York) | Primary |
| Entity Name | Olean Medical Practice PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285384412 PECOS PAC ID: 0042698045 Enrollment ID: O20220603000542 |
| Mailing Address | Practice Location Address |
|---|---|
| Nichole Green, PA 535 Main St, Olean, NY 14760-1513 Ph: (716) 372-0141 | Nichole Green, PA 535 Main St, Olean, NY 14760-1513 Ph: (716) 372-0141 |
Brian M Hill, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 515 Main St, Olean, NY 14760 Phone: 716-375-7317 Fax: 716-362-9518 |
Lori Kay Morrill, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 623 Main St Ste 200, Olean, NY 14760 Phone: 716-701-1818 Fax: 716-701-1820 |
Katherine Burlingame, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2646 W State St, Olean, NY 14760 Phone: 716-373-8870 Fax: 716-373-8871 |
James Tkacik, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 535 Main St, Olean, NY 14760 Phone: 716-372-0141 |
Ashley Madura, Physician Assistant Medicare: Medicare Enrolled Practice Location: 515 Main St, Olean, NY 14760 Phone: 716-373-2600 |
Julie A Elsigan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 135 N Union St, Blue Bird Square, Olean, NY 14760 Phone: 716-375-7500 Fax: 716-701-6853 |
Courtney Louise Snow, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 535 Main St Ste 1, Olean, NY 14760 Phone: 716-372-0141 Fax: 716-373-6632 |