Andrea C Green, PA-C - Medicare Physician Assistant in Crestview Hills, KY

Andrea C Green, PA-C is a medicare enrolled "Physician Assistant" in Crestview Hills, Kentucky. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Summit Medical Group, Inc and her current practice location is 350 Thomas More Pkwy, Ste 280, Crestview Hills, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 426-0800.

Andrea C Green is licensed to practice in Kentucky (license number PA900) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356328231.

Contact Information

Andrea C Green, PA-C
350 Thomas More Pkwy, Ste 280,
Crestview Hills, KY 41017
(859) 426-0800
(859) 426-4140



Provider's Profile

Full NameAndrea C Green
GenderFemale
SpecialityPhysician Assistant
Experience20 Years
Location350 Thomas More Pkwy, Crestview Hills, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Andrea C Green graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1356328231
  • Provider Enumeration Date: 12/30/2005
  • Last Update Date: 10/13/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8224068382
  • Enrollment ID: I20050818000037

Medical Identifiers

Medical identifiers for Andrea C Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356328231NPI-NPPES
0077725MedicaidOH
95006151MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 55001096 (Ohio)Secondary
363A00000XPhysician Assistant PA900 (Kentucky)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group, Inc2163326240693

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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. Andrea C 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
Andrea C Green, PA-C
350 Thomas More Pkwy,
Crestview Hills, KY 41017-5465

Ph: () -
Andrea C Green, PA-C
350 Thomas More Pkwy, Ste 280,
Crestview Hills, KY 41017

Ph: (859) 426-0800

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Physician Assistant Nurses in Crestview Hills, KY

Gary James Hackett, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2845 Chancellor Dr, Crestview Hills, KY 41017
Phone: 859-426-4200    Fax: 859-426-4206
Ms. Colleen Marie Kennedy, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 425 Centre View Blvd, Crestview Hills, KY 41017
Phone: 859-341-3575    Fax: 859-341-5702
Stacey L Shadix, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2865 Chancellor Dr, Suite 225, Crestview Hills, KY 41017
Phone: 859-341-5400    Fax: 859-578-3172
Rachell L Brooks, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2865 Chancellor Dr, Suite 225, Crestview Hills, KY 41017
Phone: 859-341-5400    Fax: 859-578-4594
Mrs. Emily Nichole Bray, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2494 Legends Way, Crestview Hills, KY 41017
Phone: 859-750-0443    
Mrs. Jessica Marie Gardner, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 425 Centre View Blvd, Crestview Hills, KY 41017
Phone: 859-341-3575    Fax: 859-341-5701

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