Gary Randall Green, MD | |
750 East Adams St, Syracuse, NY 13210 | |
(315) 464-1800 | |
(315) 464-6238 |
Full Name | Gary Randall Green |
---|---|
Gender | Male |
Speciality | Thoracic Surgery |
Experience | 30 Years |
Location | 750 East Adams St, Syracuse, New York |
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 |
---|---|---|---|
1780682336 | NPI | - | NPPES |
02256848 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 224487 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph's Hospital Health Center | Syracuse, NY | Hospital |
Rochester General Hospital | Rochester, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
United Medical Associates Pc | 0345144978 | 150 |
Western New York Medical Practice Pc | 3870767791 | 409 |
St Josephs Medical Pc | 4688855844 | 300 |
Entity Name | Rochester General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356412712 PECOS PAC ID: 0244149474 Enrollment ID: O20031121000644 |
Entity Name | United Medical Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013972801 PECOS PAC ID: 0345144978 Enrollment ID: O20031125000020 |
Entity Name | Newark Wayne Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770671182 PECOS PAC ID: 0446154199 Enrollment ID: O20031212000722 |
Entity Name | The Unity Hospital Of Rochester |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760421713 PECOS PAC ID: 9436060969 Enrollment ID: O20031230000038 |
Entity Name | University Surgical Associates Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376590117 PECOS PAC ID: 7315834165 Enrollment ID: O20040304000499 |
Entity Name | United Memorial Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902800352 PECOS PAC ID: 0547259376 Enrollment ID: O20040507000847 |
Entity Name | Clifton Springs Sanitarium Co |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366505463 PECOS PAC ID: 5092704809 Enrollment ID: O20040525000569 |
Entity Name | St Josephs Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942501747 PECOS PAC ID: 4688855844 Enrollment ID: O20110221000744 |
Entity Name | Western New York Medical Practice Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063790608 PECOS PAC ID: 3870767791 Enrollment ID: O20111110000598 |
Mailing Address | Practice Location Address |
---|---|
Gary Randall Green, MD 251 Salina Meadows Pkwy Ste 100, Syracuse, NY 13212-4516 Ph: (315) 464-2000 | Gary Randall Green, MD 750 East Adams St, Syracuse, NY 13210 Ph: (315) 464-1800 |
Mehdi A Marvasti, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 104 Union Ave, Suite 1008, Syracuse, NY 13203 Phone: 315-422-4442 Fax: 315-448-6126 | |
Suhas V. Pradhan, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Not Enrolled in Medicare Practice Location: 725 Irving Ave, Ste 514, Syracuse, NY 13210 Phone: 315-475-8409 Fax: 315-475-6026 | |
Mr. Timothy D Keyes, PA Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 301 Prospect Ave, Syracuse, NY 13203 Phone: 315-448-5111 Fax: 315-703-5079 | |
Richard Sang Lee, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 750 East Adams St, Syracuse, NY 13210 Phone: 315-464-1800 Fax: 315-464-6238 | |
Dr. Kyril Choumarov, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 750 East Adams St, Ste 4835, Syracuse, NY 13210 Phone: 315-464-1800 Fax: 315-464-6238 | |
Sanjay A Samy, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 750 East Adams St, Syracuse, NY 13210 Phone: 315-464-1800 Fax: 315-464-6238 | |
Dr. Donato Antonio Sisto, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 739 Irving Ave, Suite 640, Syracuse, NY 13210 Phone: 315-464-6255 Fax: 315-464-6251 |