Robert M Green Jr, MD | |
612 G St, Eureka, CA 95501-1020 | |
(707) 444-3439 | |
(707) 444-3459 |
Full Name | Robert M Green Jr |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 40 Years |
Location | 612 G St, Eureka, California |
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 |
---|---|---|---|
1932198249 | NPI | - | NPPES |
00G733420 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0122X | Surgery - Plastic And Reconstructive Surgery | G73342 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Hospital | Eureka, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Medical Foundation | 8921993205 | 1312 |
Entity Name | Providence Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Robert M Green Jr, MD Po Box 496084, Redding, CA 96049-6084 Ph: (530) 241-0473 | Robert M Green Jr, MD 612 G St, Eureka, CA 95501-1020 Ph: (707) 444-3439 |
John Eldred Disiere, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3116 Harrison Ave, Eureka, CA 95503 Phone: 707-444-3885 Fax: 707-444-7843 | |
Thomas Joseph Rydz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2321 Harrison Ave, Eureka, CA 95501 Phone: 707-445-3660 Fax: 707-476-8431 | |
Luther F Cobb, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 636 Harris St Ste A, Eureka, CA 95503 Phone: 707-476-0688 Fax: 707-476-0692 | |
Anthony Alexander Anagnostou, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2321 Harrison Ave Ste S, Eureka, CA 95501 Phone: 707-443-2248 | |
Dr. Daniel Scott Diamond, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2700 Dolbeer St, Eureka, CA 95501 Phone: 707-445-8121 | |
Dr. John Arthur Vanspeybroeck, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2321 Harrison Ave, Eureka, CA 95501 Phone: 707-443-2248 Fax: 707-443-4847 | |
Dr. Huy Tran Trieu, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2321 Harrison Ave, North Coast Surgical Specialists, Eureka, CA 95501 Phone: 707-442-4175 |