Stanley Levi Greene, CRNA | |
3000 New Bern Ave, Raleigh, NC 27604-5452 | |
(919) 345-8299 | |
Not Available |
Full Name | Stanley Levi Greene |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 3000 New Bern Ave, Raleigh, North Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467763953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 227251 (North Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 085568 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Lukes Magic Valley Medical Center | Twin falls, ID | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Lukes Clinic Llc | 1052217478 | 274 |
Entity Name | St Lukes Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899 |
Mailing Address | Practice Location Address |
---|---|
Stanley Levi Greene, CRNA P.o. Box 18139, Raleigh, NC 27604-5452 Ph: (919) 601-7811 | Stanley Levi Greene, CRNA 3000 New Bern Ave, Raleigh, NC 27604-5452 Ph: (919) 345-8299 |
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