Ivan R Green, MD - Radiology in Worcester, MA

Ivan R Green, MD is a Radiology - Diagnostic Radiology physician based in Worcester, Massachusetts. Ivan R Green is licensed to practice in Massachusetts (license number 36946) and his current practice location is 135 Gold Star Blvd, Worcester, Massachusetts. He can be reached at his office (for appointments etc.) via phone at (508) 853-2716.

NPI number for Ivan R Green is 1215989199 and his current mailing address is 630 Plantation St, Worcester, Massachusetts. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215989199.

Contact Information

Ivan R Green, MD
135 Gold Star Blvd,
Worcester, MA 01606
(508) 853-2716
(508) 856-9025

Map and Direction




Physician's Profile

Full NameIvan R Green
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location135 Gold Star Blvd, Worcester, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215989199
  • Provider Enumeration Date: 05/17/2006
  • Last Update Date: 02/13/2009

Medical Identifiers

Medical identifiers for Ivan R Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215989199NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 36946 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivan R Green is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ivan R Green, MD
630 Plantation St,
Worcester, MA 01605-2038

Ph: (508) 853-2716
Ivan R Green, MD
135 Gold Star Blvd,
Worcester, MA 01606

Ph: (508) 853-2716

Reviews and Comments


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