Individual ProviderTheresa GreeneEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address1100 NW 95th St, North Shore Medical Center, Dept Of Emergency Medicine, Miami, FL 33150(305) 835-6191PECOS EnrollmentBased on the most recent information from CMS, provider Theresa Greene is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 4:18 PM.Profile DetailsProvider ID1417287988Provider TypeIndividualFull NameGreene, TheresaCredentialMDGenderFemaleSole ProprietorNoEnumeration Date1/6/2010Last Updated6/17/2014Contact InformationPractice LocationPractice Address1100 NW 95th St, North Shore Medical Center, Dept Of Emergency Medicine, Miami, FL 33150Phone(305) 835-6191FaxUnlisted FaxMailing LocationMailing Address16475 NE 32nd Ave, North Miami Beach, FL 33160-4137Phone(305) 835-6191FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense254525-1New YorkCode207P00000XDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseME118807Florida