Nathan Green, MD | |
1601 W 40th Ave Ste 301c, Pine Bluff, AR 71603-6069 | |
(870) 541-6060 | |
(870) 541-6061 |
Full Name | Nathan Green |
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Gender | Male |
Speciality | Urology |
Location | 1601 W 40th Ave Ste 301c, Pine Bluff, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457858508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | E-16461 (Arkansas) | Primary |
Entity Name | Jefferson Hospital Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932157674 PECOS PAC ID: 8123927431 Enrollment ID: O20040106000512 |
Mailing Address | Practice Location Address |
---|---|
Nathan Green, MD Po Box 2650, Pine Bluff, AR 71613-2650 Ph: (870) 541-7211 | Nathan Green, MD 1601 W 40th Ave Ste 301c, Pine Bluff, AR 71603-6069 Ph: (870) 541-6060 |
Dr. Dennis W Jacks, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1609 W 40th Ave, Ste 301, Pine Bluff, AR 71603 Phone: 870-536-5162 Fax: 870-536-5198 | |
David Jacks, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 4303 S Mulberry St, Pine Bluff, AR 71603 Phone: 870-535-4221 Fax: 870-535-4228 | |
Dr. David A Lupo, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1609 W 40th Ave, Ste 301, Pine Bluff, AR 71603 Phone: 870-536-5162 Fax: 870-536-5198 | |
Jordan Hanberry, MD Urology Medicare: Medicare Enrolled Practice Location: 1601 W 40th Ave Ste 301c, Pine Bluff, AR 71603 Phone: 870-541-6060 Fax: 870-541-6061 | |
Dr. Robert Teryl Brooks Jr., M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 4611 Stevens Dr, Pine Bluff, AR 71603 Phone: 870-536-3266 |