Corey Edward Greene, PAC - Medicare Physician Assistant in Chapmanville, WV

Corey Edward Greene, PAC is a medicare enrolled "Physician Assistant" in Chapmanville, West Virginia. His current practice location is 40 Shae Ave Ste A, Chapmanville, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 310-2261.

Corey Edward Greene is licensed to practice in West Virginia (license number 679) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174828867.

Contact Information

Corey Edward Greene, PAC
40 Shae Ave Ste A,
Chapmanville, WV 25508-9805
(304) 310-2261
(304) 310-2262



Provider's Profile

Full NameCorey Edward Greene
GenderMale
SpecialityPhysician Assistant
Location40 Shae Ave Ste A, Chapmanville, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174828867
  • Provider Enumeration Date: 01/11/2011
  • Last Update Date: 03/16/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1254512700
  • Enrollment ID: I20110216001214

Medical Identifiers

Medical identifiers for Corey Edward Greene such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174828867NPI-NPPES
3810020048MedicaidWV
1174828867MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 01532 (West Virginia)Secondary
363A00000XPhysician Assistant 679 (West Virginia)Primary

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. Corey Edward Greene 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
Corey Edward Greene, PAC
40 Shae Ave Ste A,
Chapmanville, WV 25508-9805

Ph: (304) 310-2261
Corey Edward Greene, PAC
40 Shae Ave Ste A,
Chapmanville, WV 25508-9805

Ph: (304) 310-2261

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Physician Assistant Nurses in Chapmanville, WV

Mrs. Victoria Nicole Ellis, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 200 Vance St, Chapmanville, WV 25508
Phone: 304-855-0425    Fax: 304-855-0427
Deanna Rae Pauley, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 555 Main Street, Chapmanville, WV 25508
Phone: 304-688-9901    Fax: 304-688-9904

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