| Richard Allen Green, PMHNP-BC | |
|
Bldg 4200 Wilson Hall, Fort Benning, GA 31905 | |
| (706) 626-5904 | |
| Not Available |
| Full Name | Richard Allen Green |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | Bldg 4200 Wilson Hall, Fort Benning, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659724631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN246976 (Georgia) | Primary |
| Entity Name | Phoebe Putney Memorial Hospital, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992789721 PECOS PAC ID: 4486559549 Enrollment ID: O20031203000397 |
| Entity Name | Phoebe Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Allen Green, PMHNP-BC 7487 Obrien Loop, Fort Benning, GA 31905-2761 Ph: (229) 942-9870 | Richard Allen Green, PMHNP-BC Bldg 4200 Wilson Hall, Fort Benning, GA 31905 Ph: (706) 626-5904 |
Ms. Catherine Arlene Roberts, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7950 Martin Loop, Martin Army Community Hospital, Fort Benning, GA 31905 Phone: 706-544-1245 Fax: 706-544-1090 |
Mrs. Natalie Neal Vonhilsheimer, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7950 Martin Loop, Martin Army Hospital, Fort Benning, GA 31905 Phone: 706-544-2042 |
Panita Pipatnawin, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd, Fort Benning, GA 31905 Phone: 762-408-0374 |
Jenny Allen, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Benning, GA 31905 Phone: 762-408-4067 |
Joanna Wishart, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6600 Van Aalst Blvd, Fort Benning, GA 31905 Phone: 762-408-0374 |
Shyanne Roznowski, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Benning, GA 31905 Phone: 762-408-2605 |
Christopher Nathan Garner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Van Aalst Blvd, Fort Benning, GA 31905 Phone: 762-408-4095 |