Andrea Lynette White Green, MD | |
5 Twin Springs Dr, Dalworthington Gardens, TX 76016-4027 | |
(817) 467-0527 | |
(817) 467-0573 |
Full Name | Andrea Lynette White Green |
---|---|
Gender | Female |
Speciality | Emergency Medicine |
Experience | 45 Years |
Location | 5 Twin Springs Dr, Dalworthington Gardens, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477538296 | NPI | - | NPPES |
158826103 | Medicaid | TX | |
58137351 | Medicaid | CO | |
P00421202 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G9826 (Texas) | Secondary |
207P00000X | Emergency Medicine | 43981 (Colorado) | Secondary |
207P00000X | Emergency Medicine | 036153315 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Medical Center Of El Paso | El paso, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cep America Llc | 6608056171 | 569 |
Entity Name | Acs Primary Care Physicians Southwest Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
Entity Name | Taylor Emergency Medicine Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114987153 PECOS PAC ID: 3173570066 Enrollment ID: O20050404000067 |
Entity Name | Cep America Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134761331 PECOS PAC ID: 6608056171 Enrollment ID: O20120813000819 |
Entity Name | Southlake Emergicare Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598172033 PECOS PAC ID: 9638398258 Enrollment ID: O20140915000506 |
Entity Name | Apptexased Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265945539 PECOS PAC ID: 7911264296 Enrollment ID: O20171121001615 |
Mailing Address | Practice Location Address |
---|---|
Andrea Lynette White Green, MD 5 Twin Springs Dr, Dalworthington Gardens, TX 76016-4027 Ph: (817) 467-0527 | Andrea Lynette White Green, MD 5 Twin Springs Dr, Dalworthington Gardens, TX 76016-4027 Ph: (817) 467-0527 |