Andrew Green, | |
3636 High St, Portsmouth, VA 23707-3236 | |
(757) 398-2200 | |
Not Available |
Full Name | Andrew Green |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 7 Years |
Location | 3636 High St, Portsmouth, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063943132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 0101272008 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bon Secours Maryview Medical Center | Portsmouth, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northstar Anesthesia Of Virginia, Llc | 6608268826 | 361 |
Entity Name | Bon Secours Medical Group Hampton Roads Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629637475 PECOS PAC ID: 3173955671 Enrollment ID: O20191122000258 |
Entity Name | Northstar Anesthesia Of Virginia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20221205003063 |
Mailing Address | Practice Location Address |
---|---|
Andrew Green, 800 Crawford St Apt 101, Portsmouth, VA 23704-2334 Ph: (952) 212-1127 | Andrew Green, 3636 High St, Portsmouth, VA 23707-3236 Ph: (757) 398-2200 |
Dr. Mark Joseph Lenart, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Circle, Department Of Anesthesiology, Portsmouth, VA 23708 Phone: 757-963-3238 | |
Dr. Jessica Santucci, D.O Anesthesiology Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-0669 | |
Dr. Jennifer Adams, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-7550 | |
Tameka Jeannine Pyles, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-5000 | |
Dr. Alex Michael Hendon, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708 Phone: 757-953-5000 | |
Ian M Condon, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3200 Tyre Neck Rd, Suite 101, Portsmouth, VA 23703 Phone: 757-399-7451 Fax: 757-399-1158 |