| Richard Michael Greene, PA-C | |
|
1350 Hickory St, Melbourne, FL 32901-3224 | |
| (321) 434-7000 | |
| Not Available |
| Full Name | Richard Michael Greene |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1350 Hickory St, Melbourne, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912290495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9106015 (Florida) | Primary |
| Entity Name | Emergency Physicians of Central Florida LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326033341 PECOS PAC ID: 1850296567 Enrollment ID: O20031205000109 |
| Entity Name | Melbourne Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932562915 PECOS PAC ID: 2860783925 Enrollment ID: O20160620002409 |
| Entity Name | Rockledge Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306200522 PECOS PAC ID: 5092006619 Enrollment ID: O20160628002737 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Michael Greene, PA-C Po Box 864659, Orlando, FL 32886-0001 Ph: (866) 321-8433 | Richard Michael Greene, PA-C 1350 Hickory St, Melbourne, FL 32901-3224 Ph: (321) 434-7000 |
Mr. Christian Anthony Staniec, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6032 Farcenda Pl, #102, Melbourne, FL 32940 Phone: 321-608-8160 Fax: 321-622-6818 |
Ms. Sabrina Wu Staples, P.A Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3337 Hoofprint Dr, Melbourne, FL 32940 Phone: 321-610-7234 |
Ryan Ferland, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 946 Spanish Wells Dr, Melbourne, FL 32940 Phone: 321-474-0089 |
Mr. Patrick Gene Campbell, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1494 Avocado Ave, Melbourne, FL 32935 Phone: 321-610-7950 |
Sara Jane Sengel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6300 N Wickham Rd, Suite 101, Melbourne, FL 32940 Phone: 321-253-2169 Fax: 321-253-1720 |
Mr. Michael J Ceranowski, PA-C, CAA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901 Phone: 321-837-3820 |
Danielle N Miller, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1223 Gateway Dr Ste 1e, Melbourne, FL 32901 Phone: 321-725-4505 Fax: 321-409-8932 |