Dr Stephen Lloyd Green, MD | |
2131 S Bonito Way, Meridian, ID 83642-1659 | |
(208) 489-9500 | |
Not Available |
Full Name | Dr Stephen Lloyd Green |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 54 Years |
Location | 2131 S Bonito Way, Meridian, Idaho |
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 |
---|---|---|---|
1477679496 | NPI | - | NPPES |
1013986579 | Other | VA | NPI CORPORATION |
006069479 | Medicaid | VA | |
1477679496 | Other | VA | NPI INDIVIDUAL |
M-10266 | Other | ID | IDAHO LIC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 0101028335 (Virginia) | Secondary |
208M00000X | Hospitalist | M-10266 (Idaho) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Spotsylvania Regional Medical Center | Fredericksburg, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hospital Medicine Services Of Va Llc | 5991160160 | 15 |
Entity Name | Emergency Medicine Associates Pa Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134117393 PECOS PAC ID: 8022914522 Enrollment ID: O20031208000283 |
Entity Name | Hospital Medicine Services Of Va Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083311146 PECOS PAC ID: 5991160160 Enrollment ID: O20230424002226 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen Lloyd Green, MD 26 Town Center Way # 704, Hampton, VA 23666-1999 Ph: (757) 771-8049 | Dr Stephen Lloyd Green, MD 2131 S Bonito Way, Meridian, ID 83642-1659 Ph: (208) 489-9500 |
Ann C Agnew, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 3080 E Gentry Way Ste 210, Meridian, ID 83642 Phone: 208-947-5390 Fax: 208-947-3465 | |
Dr. Randhi Wijekularatne Peterson, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 520 S Eagle Rd, Meridian, ID 83642 Phone: 702-493-9051 |