Dr Michael Patrick Green, MD | |
4353 Hwy 1 S, Port Allen, LA 70767-5826 | |
(225) 749-2645 | |
(225) 765-8216 |
Full Name | Dr Michael Patrick Green |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 25 Years |
Location | 4353 Hwy 1 S, Port Allen, Louisiana |
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 |
---|---|---|---|
1154400687 | NPI | - | NPPES |
1575470 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 024770 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Elara Caring | Baton rouge, LA | Home health agency |
Comfort Care Hospice | Plaquemine, LA | Hospice |
Ochsner Medical Center - Baton Rouge | Baton rouge, LA | Hospital |
Our Lady Of The Lake Regional Medical Center | Baton rouge, LA | Hospital |
Landmark Of Plaquemine | Plaquemine, LA | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Our Lady Of The Lake Physician Group Llc | 4587849781 | 521 |
Entity Name | Our Lady Of The Lake Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Patrick Green, MD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 765-5727 | Dr Michael Patrick Green, MD 4353 Hwy 1 S, Port Allen, LA 70767-5826 Ph: (225) 749-2645 |
Santhosh K Reddy, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 970 N Alexander Ave, Port Allen, LA 70767 Phone: 225-383-6363 Fax: 225-383-6367 | |
Dr. Noemie M Safford, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4830 S River Rd, Port Allen, LA 70767 Phone: 225-892-3923 Fax: 225-223-6468 |