| Lisa W Green, CRNA | |
|
1009 Lark St, Suite 2, Johnson City, TN 37604-8217 | |
| (423) 283-0776 | |
| (423) 283-0549 |
| Full Name | Lisa W Green |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 1009 Lark St, Johnson City, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003170754 | NPI | - | NPPES |
| 1529853 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | APN0000016679 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Middlesboro Arh Hospital | Middlesboro, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Triangle Anesthesia Group, Psc | 9436161585 | 61 |
| Entity Name | Triangle Anesthesia Group, Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124079314 PECOS PAC ID: 9436161585 Enrollment ID: O20060608000180 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa W Green, CRNA Po Box 3727, Johnson City, TN 37602-3727 Ph: (423) 283-0776 | Lisa W Green, CRNA 1009 Lark St, Suite 2, Johnson City, TN 37604-8217 Ph: (423) 283-0776 |
Shawn D Bright, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1009 Novus Dr Ste 2, Johnson City, TN 37604 Phone: 423-283-0776 Fax: 423-283-0549 | |
Marcos D Demoura, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 818 Sunset Dr Ste 103, Johnson City, TN 37604 Phone: 423-794-3142 | |
Chasity A Huffman, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1009 Novus Dr Ste 2, Johnson City, TN 37604 Phone: 423-283-0776 Fax: 423-968-5697 | |
Mrs. Jewel B Welch, CRNAP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1009 Novus Dr, Johnson City, TN 37604 Phone: 423-283-0776 | |
Johnny Lee Estep, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1009 Novus Dr, Johnson City, TN 37604 Phone: 423-282-0776 | |
Samuel V Davenport, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 400 N State Of Franklin Rd, Johnson City, TN 37604 Phone: 423-431-6111 |