| Tanya Renita Green, PA | |
|
68 Harris Rd, Harris, NY 12742-5030 | |
| (845) 794-3300 | |
| (845) 794-3240 |
| Full Name | Tanya Renita Green |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 68 Harris Rd, Harris, 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 |
|---|---|---|---|
| 1245279405 | NPI | - | NPPES |
| 2921863-00 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA06905 (Texas) | Secondary |
| 363A00000X | Physician Assistant | 085002921 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tanya Renita Green, PA 403 E 1st St, Dixon, IL 61021-3116 Ph: (815) 288-5531 | Tanya Renita Green, PA 68 Harris Rd, Harris, NY 12742-5030 Ph: (845) 794-3300 |
Jonathan Ortega, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 68 Harris Rd, Harris, NY 12742 Phone: 800-893-9698 | |
Ms. Brittnie Connolly, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 68 Harris-bushville Rd, Harris, NY 12742 Phone: 845-794-3300 |