Mark Green (NPI# 1033589569, PAC ID# 3274878061) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1033589569 |
| PAC ID by PECOS | 3274878061 |
| Professional Enrollment ID | I20181226000862 |
| Full Name | Mark Green |
| Organization Legal Name | PRATT REGIONAL MEDICAL CENTER CORPORATION |
| Address |
420 Country Club Rd Pratt KS 67124-3125 |
| Phone Number | 6206727415 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 1355253238 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 420 Country Club Rd, Pratt, KS 67124-3125 | 6206727415 | PRATT REGIONAL MEDICAL CENTER CORPORATION |
| Organization Legal Name | PRATT REGIONAL MEDICAL CENTER CORPORATION |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ritchey Susann Simon | Nurse Practitioner | Pratt Regional Medical Center Corporation | 203 Watson St, Suite 300, Pratt, KS 67124-3092 |
| Rachael Dawn Hauser | Internal Medicine | Pratt Regional Medical Center Corporation | 420 Country Club Rd, Pratt, KS 67124-3125 |
| Jason P Wiltshire | General Surgery | Pratt Regional Medical Center Corporation | 124 Commodore St B, Pratt, KS 67124-2995 |
| Todd A Brown | General Surgery | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Denise R Conant | Nurse Practitioner | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Jacquelyn Rene Forssberg | Nurse Practitioner | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Jacquelyn S Kemmerer | Nurse Practitioner | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Galen D Slough | Nurse Practitioner | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Scott W Gordon | Podiatry | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Fredrick J Farmer Iii | General Practice | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Street Address |
420 COUNTRY CLUB RD |
| City | PRATT |
| State | KS |
| Zip | 67124-3125 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachael Dawn Hauser | Internal Medicine | Pratt Regional Medical Center Corporation | 420 Country Club Rd, Pratt, KS 67124-3125 |
| Mary Annette Adelhardt | Nurse Practitioner | Pratt Regional Medical Center Corporation | 420 Country Club Rd, Pratt, KS 67124-3125 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara N Wallace | Clinical Social Worker | 111 W 2nd St, Pratt, KS 67124-2644 | |
| Monica Irene Hendershot | Clinical Social Worker | 111 W 2nd St, Pratt, KS 67124-2644 | |
| Travis E Davis | Chiropractic | 122 E 3rd St, Pratt, KS 67124-2710 | |
| William D Eastes | Chiropractic | 223 E, 4th, Pratt, KS 67124-2730 | |
| Todd A Brown | General Surgery | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Denise R Conant | Nurse Practitioner | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Jacquelyn Rene Forssberg | Nurse Practitioner | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Chad M Janzen | Certified Registered Nurse Anesthetist (crna) | 200 Commodore St, Pratt, KS 67124-2903 | |
| Melissa A Moffitt Craft | Certified Registered Nurse Anesthetist (crna) | 200 Commodore St, Pratt, KS 67124-2903 | |
| Jacquelyn S Kemmerer | Nurse Practitioner | Pratt Regional Medical Center Corporation | 200 Commodore St, Pratt, KS 67124-2903 |
| Find all physicians in zip 67124 | |||
| City | PRATT |
| Zip Code | 67124 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | PRATT + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Mark Green.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.