Ms Shelly Marie Green, CRNA | |
707 Sheridan Ave, Cody, WY 82414-3409 | |
(307) 587-2139 | |
Not Available |
Full Name | Ms Shelly Marie Green |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 707 Sheridan Ave, Cody, Wyoming |
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 |
---|---|---|---|
1205176476 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 146502 (Kansas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 35180-1385 (Wyoming) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cody Regional Health | Cody, WY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wyoming Perioperative Anesthesia Consultants Llc | 0840433132 | 7 |
Entity Name | Wyoming Perioperative Anesthesia Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508119439 PECOS PAC ID: 0840433132 Enrollment ID: O20130905000971 |
Mailing Address | Practice Location Address |
---|---|
Ms Shelly Marie Green, CRNA Po Box 1155, Billings, MT 59103-1155 Ph: () - | Ms Shelly Marie Green, CRNA 707 Sheridan Ave, Cody, WY 82414-3409 Ph: (307) 587-2139 |
Brent Adam Mcallister, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 707 Sheridan Ave, Cody, WY 82414 Phone: 307-527-7501 | |
Shannon Vance, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 707 Sheridan Ave, Cody, WY 82414 Phone: 307-587-2139 | |
Sandra E Whalen, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 732 Lindsay Ln, Cody, WY 82414 Phone: 307-587-2139 | |
Barton E Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 732 Lindsay Ln, Cody, WY 82414 Phone: 307-578-1860 Fax: 307-587-2364 |