Phil James Green, PAC - Medicare Physician Assistant in Blackwell, OK

Phil James Green, PAC is a medicare enrolled "Family Medicine" physician in Blackwell, Oklahoma. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Physician Assistant. His current practice location is 1009 W Ferguson Ave, Blackwell, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 363-0052.

Phil James Green is licensed to practice in Oklahoma (license number PA800) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1083610752.

Contact Information

Phil James Green, PAC
1009 W Ferguson Ave,
Blackwell, OK 74631-5602
(580) 363-0052
(580) 363-0894



Physician's Profile

Full NamePhil James Green
GenderMale
SpecialityPhysician Assistant
Experience28 Years
Location1009 W Ferguson Ave, Blackwell, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Phil James Green graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1083610752
  • Provider Enumeration Date: 06/27/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5092734772
  • Enrollment ID: I20051114000016

Medical Identifiers

Medical identifiers for Phil James Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083610752NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine PA800 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Angels Care Home Health Of East OklahomaBroken arrow, OKHome health agency
Healthback Home Health Of Ponca CityPonca city, OKHome health agency

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Phil James Green is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Phil James Green, PAC
1009 W Ferguson Ave,
Blackwell, OK 74631-5602

Ph: (580) 363-0052
Phil James Green, PAC
1009 W Ferguson Ave,
Blackwell, OK 74631-5602

Ph: (580) 363-0052

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Family Medicine Doctors in Blackwell, OK

Jeffrey Robert Shuart, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 115 W Bridge Ave, Blackwell, OK 74631
Phone: 580-363-3501    Fax: 580-363-3477
Samuel Lyle Hague, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1009 W Ferguson Ave, Blackwell, OK 74631
Phone: 580-363-0052    Fax: 580-363-0894
Paul A. Briggs, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1009 W Ferguson Ave, Blackwell, OK 74631
Phone: 580-363-0052    Fax: 580-363-0894

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