Jeffrey L Green, CRNA is a
Nurse Anesthetist, Certified Registered based in Sheridan, Wyoming. Jeffrey L Green is licensed to practice in Wyoming (license number 181120679) and his current practice location is
1524 W 5th St, Sheridan, Wyoming. He can be reached at his office (for appointments etc.) via phone at
(307) 674-5123.
NPI number for Jeffrey L Green is 1104917558 and his current mailing address is Po Box 767, Sheridan, Wyoming. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104917558.
Provider's Profile
| Full Name | Jeffrey L Green |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1524 W 5th St, Sheridan, Wyoming |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104917558
- Provider Enumeration Date: 09/28/2006
- Last Update Date: 10/21/2009
Medical Identifiers
Medical identifiers for Jeffrey L Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104917558 | NPI | - | NPPES |
| 430050294 | Other | WY | RAILROAD MEDICARE |
| 308084 | Other | WY | BCBS |
| 114450200 | Medicaid | WY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 181120679 (Wyoming) | 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. Jeffrey L 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 |
|---|
Jeffrey L Green, CRNA
Po Box 767,
Sheridan, WY 82801-0767
Ph: (307) 674-5123 | Jeffrey L Green, CRNA
1524 W 5th St,
Sheridan, WY 82801-2707
Ph: (307) 674-5123 |
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