Brian A Green, MD | |
1661 International Place Drive, Suite 350, Memphis, TN 38120 | |
(901) 685-2696 | |
(901) 682-9747 |
Full Name | Brian A Green |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 23 Years |
Location | 1661 International Place Drive, Memphis, Tennessee |
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 |
---|---|---|---|
1033143714 | NPI | - | NPPES |
127217 | Other | MO | BLUE CHOICE |
751786 | Other | MO | HEALTHLINK |
201269206 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085P0229X | Radiology - Pediatric Radiology | MD0000046433 (Tennessee) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 2004005488 (Missouri) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Methodist Healthcare Memphis Hospitals | Memphis, TN | Hospital |
Methodist Healthcare - Olive Branch Hospital | Olive branch, MS | Hospital |
Hardin Medical Center | Savannah, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Memphis Radiological Pc | 1557333226 | 51 |
Memphis Radiological Pc | 1557333226 | 51 |
Entity Name | Memphis Radiological Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639172851 PECOS PAC ID: 1557333226 Enrollment ID: O20040812000211 |
Mailing Address | Practice Location Address |
---|---|
Brian A Green, MD 1661 International Place Drive, Suite 350, Memphis, TN 38120 Ph: (901) 685-2696 | Brian A Green, MD 1661 International Place Drive, Suite 350, Memphis, TN 38120 Ph: (901) 685-2696 |
Dr. Daniel Wakefield, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 920 Madison Ave, Suite 447, Memphis, TN 38103 Phone: 901-448-5814 | |
Madison H Buckley Jr., MD Radiology Medicare: Medicare Enrolled Practice Location: 50 Humphreys Ctr, Suite 23, Memphis, TN 38120 Phone: 901-226-0810 Fax: 901-383-8985 | |
Paul R Tanner, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6019 Walnut Grove, Memphis, TN 38120 Phone: 901-383-8860 Fax: 901-383-1194 | |
Martha E Glenn, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 6215 Humphreys Blvd, Suite 100, Memphis, TN 38120 Phone: 901-227-9650 | |
Matthew T. Ballo, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 N Humphreys Blvd, Memphis, TN 38120 Phone: 901-683-0055 Fax: 901-685-2969 | |
Terry L Thompson, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 5959 Park Ave, Radiology Department, Memphis, TN 38119 Phone: 901-765-3212 Fax: 901-765-3212 | |
Stefan J Cowles, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5959 Park Ave, Radiology Department, Memphis, TN 38119 Phone: 901-765-3212 Fax: 901-765-1727 |