Shane T Green, RN, SRNA | |
500 University Dr, Hershey, PA 17033-2360 | |
(717) 531-6597 | |
Not Available |
Full Name | Shane T Green |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 500 University Dr, Hershey, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427629120 | NPI | - | NPPES |
RN706314 | Other | PA | PA RN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN706314 (Pennsylvania) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | RN706314 (Pennsylvania) | Primary |
Entity Name | The Milton S Hershey Medical Center Physicians Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710951744 PECOS PAC ID: 3870405483 Enrollment ID: O20040225000741 |
Mailing Address | Practice Location Address |
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Shane T Green, RN, SRNA 201 State St, Erie, PA 16550-0001 Ph: () - | Shane T Green, RN, SRNA 500 University Dr, Hershey, PA 17033-2360 Ph: (717) 531-6597 |
Ntiege Ngwane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 | |
Amanda Ford, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, One Children's Hospital Drive, Hershey, PA 17033 Phone: 717-531-6597 | |
Nathan Ryan Tomlinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-6597 Fax: 717-531-7790 | |
Zachary A Munch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 Fax: 717-531-7790 | |
Jesse A Studer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-6886 Fax: 717-531-3708 | |
Mrs. Emily Racilla, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 | |
Elizabeth Bezsylko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 |