Thomas Jefferson Green, CRNA | |
129 W Lake Mead Pkwy, B18, Henderson, NV 89015-7055 | |
(702) 564-4440 | |
(702) 558-1522 |
Full Name | Thomas Jefferson Green |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 18 Years |
Location | 129 W Lake Mead Pkwy, Henderson, Nevada |
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 |
---|---|---|---|
1467535583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | CRNA000309 (Nevada) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mountain West Medical Center | Tooele, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Desert Peak Anesthesia, Llc | 6002884996 | 8 |
Entity Name | Desert Peak Anesthesia, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518972280 PECOS PAC ID: 6002884996 Enrollment ID: O20040920000002 |
Mailing Address | Practice Location Address |
---|---|
Thomas Jefferson Green, CRNA 129 W Lake Mead Pkwy, B18, Henderson, NV 89015-7055 Ph: (702) 564-4440 | Thomas Jefferson Green, CRNA 129 W Lake Mead Pkwy, B18, Henderson, NV 89015-7055 Ph: (702) 564-4440 |
Jaime Parke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, Suite B18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Akimi S Mcknight, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, B18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Natalie J Lewis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, #b-18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Heather Wiley Suescun, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, #b-18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Matthew Lee Rigby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, Suite B18, Henderson, NV 89015 Phone: 702-564-4440 | |
Mr. Michael Douglas Dixon, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 129 W Lake Mead Pkwy, Suite B-18, Henderson, NV 89015 Phone: 702-564-4440 | |
Ms. Michelle Debellis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10120 S Eastern Ave, Ste 200, Henderson, NV 89052 Phone: 702-487-6880 Fax: 702-473-5455 |