Dr R Michael Green, MD | |
280 Fort Sanders West Blvd, Suite 101, Knoxville, TN 37922-3398 | |
(865) 539-0270 | |
(865) 539-6998 |
Full Name | Dr R Michael Green |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 28 Years |
Location | 280 Fort Sanders West Blvd, Knoxville, 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 |
---|---|---|---|
1215983069 | NPI | - | NPPES |
3817540 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 28506 (Tennessee) | Secondary |
208000000X | Pediatrics | 28506 (Tennessee) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Medical Group, Pllc | 2860396330 | 515 |
Entity Name | Summit Medical Group, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659090298 PECOS PAC ID: 2860396330 Enrollment ID: O20031125000793 |
Entity Name | Southeastern Emergency Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356379382 PECOS PAC ID: 2466364997 Enrollment ID: O20050125000997 |
Mailing Address | Practice Location Address |
---|---|
Dr R Michael Green, MD 280 Fort Sanders West Blvd, Suite 101, Knoxville, TN 37922-3351 Ph: (865) 539-0270 | Dr R Michael Green, MD 280 Fort Sanders West Blvd, Suite 101, Knoxville, TN 37922-3398 Ph: (865) 539-0270 |
Megan Mills, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 4741 N Broadway St Ste B, Knoxville, TN 37918 Phone: 865-687-1940 | |
Thomas H. Lowry, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2587 Willow Point Way, Knoxville, TN 37931 Phone: 865-470-2560 Fax: 865-691-5883 | |
Kelly Patrice Boggan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1400 Dutch Valley Dr, Knoxville, TN 37918 Phone: 865-689-1122 Fax: 865-689-2923 | |
Mrs. Stephanie Stapleton Shults, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9142 S Northshore Dr, Knoxville, TN 37922 Phone: 865-670-1560 Fax: 865-670-1862 | |
Michael R Liske, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2001 Laurel Ave, Suite Ng4, Knoxville, TN 37916 Phone: 865-971-6897 Fax: 865-971-1597 | |
Dr. Wilson Scout Robinson Jr., MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2121 Highland Ave, Knoxville, TN 37916 Phone: 865-525-2640 Fax: 865-525-9536 | |
Shahid Ahmed Malik, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2018 Clinch Avenue, Knoxville, TN 37916 Phone: 865-541-8266 Fax: 865-541-8553 |