Keith W Green, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Jasper, IN

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Keith W Green, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jasper, Indiana. He graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Indiana University Health Bedford Inc, Ivory Coast Anesthesia Management Llc and his current practice location is 800 W 9th St, Jasper, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 482-0643.

Keith W Green is licensed to practice in Indiana (license number 28138655A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508920653.

Contact Information

Keith W Green, CRNA
800 W 9th St,
Jasper, IN 47546-2514
(812) 482-0643
(812) 482-0214

Map and Direction




Provider's Profile

Full NameKeith W Green
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience27 Years
Location800 W 9th St, Jasper, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Keith W Green graduated from nursing school in 1997
  NPI Data:
  • NPI Number: 1508920653
  • Provider Enumeration Date: 12/21/2006
  • Last Update Date: 06/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3375638596
  • Enrollment ID: I20100901000360

Medical Identifiers

Medical identifiers for Keith W Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508920653NPI-NPPES
200157750AMedicaidIN
28138655OtherININDIANA LICENSE
940070020OtherINMEDICARE PTAN
000000211953OtherINANTHEM BC ID
163460047OtherINMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 9261695 (Florida)Secondary
367500000XNurse Anesthetist, Certified Registered 28138655A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Indiana University Health Bedford HospitalBedford, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Indiana University Health Bedford Inc26683830927
Ivory Coast Anesthesia Management Llc488003967617

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keith W Green allows following entities to bill medicare on his behalf.
Entity NameLittle Company Of Mary Hospital Of Indiana Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114120128
PECOS PAC ID: 4587578042
Enrollment ID: O20031118000733
Entity NameIndiana University Health Bedford Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871036962
PECOS PAC ID: 2668383092
Enrollment ID: O20031122000022
Entity NameIndiana University Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376586719
PECOS PAC ID: 2365350675
Enrollment ID: O20040407000695
Entity NameIndiana University Health Paoli Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457519324
PECOS PAC ID: 2668426016
Enrollment ID: O20050308001174
Entity NameAnesthesia Care Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073899449
PECOS PAC ID: 6608042288
Enrollment ID: O20120103000455
Entity NameApollo Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396179461
PECOS PAC ID: 3072741370
Enrollment ID: O20140113001443
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20191011000052
Entity NameIvory Coast Anesthesia Management Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083484000
PECOS PAC ID: 4880039676
Enrollment ID: O20240304000400

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. Keith W Green is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Keith W Green, CRNA
2061 W Skyview Dr,
Jasper, IN 47546-8214

Ph: (812) 634-9504		Keith W Green, CRNA
800 W 9th St,
Jasper, IN 47546-2514

Ph: (812) 482-0643

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Jasper, IN

Mrs. Meghan Elizabeth Buchta, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 W 9th St, Jasper, IN 47546
Phone: 812-996-2345    
Lori Leeds, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 W 9th St, Jasper, IN 47546
Phone: 812-996-2345    
Adam Keith Thomas, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 W 9th St, Jasper, IN 47546
Phone: 812-996-2345    
Angela Joy Weinzapfel, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 600 W 13th St, Suite 100, Jasper, IN 47546
Phone: 812-483-2228    
Stephanie Flick, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 W 9th St, Jasper, IN 47546
Phone: 812-482-0643    Fax: 812-482-0214
Claire E Edwards,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 W 9th St, Jasper, IN 47546
Phone: 812-996-2345    
Elizabeth M Head, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 W 9th St, Jasper, IN 47546
Phone: 812-482-2345    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.