Mr Kenneth R Green, MD in Syracuse, NY

Mr Kenneth R Green, MD is a Internal Medicine - Nephrology physician based in Syracuse, New York. Mr Kenneth R Green is licensed to practice in New York (license number 130245) and his current practice location is 1304 Buckley Rd, Syracuse, New York. He can be reached at his office (for appointments etc.) via phone at (315) 478-3311.

NPI number for Mr Kenneth R Green is 1114909512 and his current mailing address is 1304 Buckley Road, Syracuse, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114909512.

Contact Information

	Mr Kenneth R Green, MD
	1304 Buckley Rd, Syracuse, NY 13212-4302
	(315) 478-3311
	(315) 426-0796

Map and Direction

Physician's Profile

Full Name	Mr Kenneth R Green
Gender	Male
Speciality	Internal Medicine - Nephrology
Location	1304 Buckley Rd, Syracuse, New York
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1114909512
Provider Enumeration Date: 11/19/2005
Last Update Date: 02/14/2008

Medical Identifiers

Medical identifiers for Mr Kenneth R Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114909512	NPI	-	NPPES
10119425	Other	NY	CDPHP
000914917001	Other	NY	HEALTHNOW
3300208	Other	NY	GHI
00914917001	Other	NY	HEALTHNOW
100029112801	Other	NY	UNITED HEALTHCARE
719956	Other	NY	MVP
00581475	Medicaid	NY
03260	Other	NY	EXCELLUS
00040696502	Other	NY	UNIVERA SENIOR CHOICE
4535679	Other	NY	AETNA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	130245 (New York)	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. Mr Kenneth 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 Address	Practice Location Address
Mr Kenneth R Green, MD 1304 Buckley Road, Syracuse, NY 13212 Ph: (315) 478-3311	Mr Kenneth R Green, MD 1304 Buckley Rd, Syracuse, NY 13212-4302 Ph: (315) 478-3311

Reviews and Comments

Internal Medicine Doctors in Syracuse, NY

Courtney Myers, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 750 E Adams St Ste 311, Syracuse, NY 13210 Phone: 315-464-5815
Joan Marie Mitchell, MD Nephrology Medicare: Medicare Enrolled Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-425-4828 Fax: 315-425-4827
Saverio J. Barbera, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plaza, Ste 5010, Syracuse, NY 13202 Phone: 315-464-9335 Fax: 315-464-9338
Gordana Obradovic, M.D. Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1304 Buckley Rd, Suite 200, Syracuse, NY 13212 Phone: 315-478-3311 Fax: 315-476-5211
Kristin A Ramella, NP Nephrology Medicare: Accepting Medicare Assignments Practice Location: 90 Presidential Plz Ste 5010, Syracuse, NY 13202 Phone: 315-464-9335
Vinodhini M Subramanian, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-7111
Robert R. Michiel, MD Nephrology Medicare: Medicare Enrolled Practice Location: 90 Presidential Plz, 5th Floor, Syracuse, NY 13202 Phone: 315-464-9335 Fax: 315-464-9338

Mr Kenneth R Green, MD - Internal Medicine in Syracuse, NY