Dr Jeremy Blair Green, MD | |
4425 Ponce De Leon Blvd, Suite 200, Coral Gables, FL 33146-1837 | |
(305) 443-6606 | |
(305) 443-4890 |
Full Name | Dr Jeremy Blair Green |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 18 Years |
Location | 4425 Ponce De Leon Blvd, Coral Gables, Florida |
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 |
---|---|---|---|
1225249055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | ME107541 (Florida) | Primary |
207NS0135X | Dermatology - Procedural Dermatology | ME107541 (Florida) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Skin Associates Of South Florida Pa | 0749599793 | 7 |
Entity Name | Skin Associates Of South Florida Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801283122 PECOS PAC ID: 0749599793 Enrollment ID: O20151014002157 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeremy Blair Green, MD 4425 Ponce De Leon Blvd, Suite 200, Coral Gables, FL 33146-1837 Ph: (305) 443-6606 | Dr Jeremy Blair Green, MD 4425 Ponce De Leon Blvd, Suite 200, Coral Gables, FL 33146-1837 Ph: (305) 443-6606 |
Rube J Pardo, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1828 Ponce De Leon Blvd, Coral Gables, FL 33134 Phone: 305-448-5795 Fax: 305-448-5795 | |
Mrs. Diane Loo Gonzalez, APRN Dermatology Medicare: Not Enrolled in Medicare Practice Location: 3232 Coral Way Apt 114, Coral Gables, FL 33145 Phone: 305-975-5670 | |
Dr. Jacquelyn Rose Dosal, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4425 Ponce De Leon Blvd, Suite 200, Coral Gables, FL 33146 Phone: 305-443-6606 Fax: 305-443-4890 | |
Dr. Bernard P Nusbaum, MD Dermatology Medicare: Medicare Enrolled Practice Location: 4425 Ponce De Leon Blvd, Suite 230, Coral Gables, FL 33146 Phone: 305-448-9100 Fax: 305-448-9100 | |
Alysa Robin Herman, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 135 San Lorenzo Avenue, S.700, Coral Gables, FL 33146 Phone: 305-444-4979 Fax: 305-444-4978 | |
Vitor Filipa Weinman, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 401 Coral Way, Suite 207, Coral Gables, FL 33134 Phone: 305-445-2941 Fax: 305-445-7231 |