Mr Robert Adam Green, in Fort Wayne, IN - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Robert Adam Green, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Wayne, Indiana. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Adams County Memorial Hospital, Aas Indiana Llc and his current practice location is 5050 N Clinton St, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 484-8551.

Mr Robert Adam Green is licensed to practice in Indiana (license number 28221931A) 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 1952745499.

Contact Information

	Mr Robert Adam Green,
	5050 N Clinton St, Fort Wayne, IN 46825-5886
	(260) 484-8551
	(260) 482-5060

Map and Direction

Provider's Profile

Full Name	Mr Robert Adam Green
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	11 Years
Location	5050 N Clinton St, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Robert Adam Green graduated from nursing school in 2013

NPI Data:

NPI Number: 1952745499
Provider Enumeration Date: 04/27/2013
Last Update Date: 10/22/2018

Medicare PECOS Information:

PECOS PAC ID: 1456593680
Enrollment ID: I20150730012940

Medical Identifiers

Medical identifiers for Mr Robert Adam Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952745499	NPI	-	NPPES
201302760	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R079312 (Arkansas)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	2013012833 (Missouri)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	28221931A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adams Memorial Hospital	Decatur, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Adams County Memorial Hospital	0941198253	67
Aas Indiana Llc	4688045115	54

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. Mr Robert Adam Green allows following entities to bill medicare on his behalf.

Entity Name	Adams County Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689696148 PECOS PAC ID: 0941198253 Enrollment ID: O20041001000326

Entity Name	Surgery One Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144724402 PECOS PAC ID: 8820351463 Enrollment ID: O20180413001005

Entity Name	Jebs Anesthesia Consultants, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790447761 PECOS PAC ID: 4486046646 Enrollment ID: O20220120000233

Entity Name	Aas Indiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831827021 PECOS PAC ID: 4688045115 Enrollment ID: O20230120001025

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. Mr Robert Adam 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 Address	Practice Location Address
Mr Robert Adam Green, 5052 N Clinton St, Fort Wayne, IN 46825-5822 Ph: (260) 484-8551	Mr Robert Adam Green, 5050 N Clinton St, Fort Wayne, IN 46825-5886 Ph: (260) 484-8551

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Wayne, IN

Anthony Dzigbordi, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551
Lisa A Tompa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5050 N Clinton St, Fort Wayne, IN 46825 Phone: 260-484-8551 Fax: 260-482-5060
Nicole Borem Schickel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875
Blair John Walker, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7950 W Jefferson Blvd, Fort Wayne, IN 46804 Phone: 260-416-3000
Madeline Sikes Brooks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 Fax: 260-432-9812
Dr. Jennifer Hager, DNP, MBA, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 10315 Dawsons Creek Blvd Ste Ab, Fort Wayne, IN 46825 Phone: 260-436-7875 Fax: 260-432-9812
Lisa Osborne, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5734 Coventry Ln, Fort Wayne, IN 46804 Phone: 260-436-7875

Mr Robert Adam Green, - Medicare Certified Registered Nurse Anesthetist (crna) in Fort Wayne, IN