Dr Debora L Green, MD | |
3640 Main St, Suite 101, Springfield, MA 01107-1145 | |
(413) 781-9000 | |
(413) 781-7988 |
Full Name | Dr Debora L Green |
---|---|
Gender | Female |
Speciality | Radiology - Diagnostic Radiology |
Location | 3640 Main St, Springfield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316027980 | NPI | - | NPPES |
3098664 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 76421 (Massachusetts) | Primary |
Entity Name | Providence Diagnostic Imaging Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609978170 PECOS PAC ID: 1052300787 Enrollment ID: O20040508000173 |
Mailing Address | Practice Location Address |
---|---|
Dr Debora L Green, MD 3640 Main St, Springfield, MA 01107-1145 Ph: (413) 781-9000 | Dr Debora L Green, MD 3640 Main St, Suite 101, Springfield, MA 01107-1145 Ph: (413) 781-9000 |
Laurie E Gianturco, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1350 Main St Ste 1007, Springfield, MA 01103 Phone: 413-827-7400 Fax: 413-827-7407 | |
Linda Esther Bornstein, MD Radiology Medicare: Medicare Enrolled Practice Location: 3350 Main St, Springfield, MA 01107 Phone: 413-794-9175 Fax: 413-794-5153 | |
Christopher Badalucco, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 759 Chestnut St, Springfield, MA 01107 Phone: 413-827-7400 | |
Christopher C Moore, MD, PH.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 759 Chestnut St, Radiology Department, Springfield, MA 01107 Phone: 413-827-7426 Fax: 413-827-7407 | |
Dr. Thomas Joseph Anderson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1350 Main St Ste 1007, Springfield, MA 01103 Phone: 413-827-7400 | |
Dr. Jason L. Port, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3640 Main St, Suite 101, Springfield, MA 01107 Phone: 413-781-9000 Fax: 413-781-7988 | |
Michael E. Swirsky, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 759 Chestnut St, Radiology Department, Springfield, MA 01107 Phone: 413-827-7426 Fax: 413-827-7407 |