| Dr Jacob Irving Green, DPM | |
|
1680 Chambers St Ste 201, Eugene, OR 97402-3655 | |
| (541) 683-3351 | |
| (541) 683-6440 |
| Full Name | Dr Jacob Irving Green |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1680 Chambers St Ste 201, Eugene, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578188256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | DP219527 (Oregon) | Primary |
| 213E00000X | Podiatrist | E5897 (California) | Secondary |
| 213E00000X | Podiatrist | EL6961 (California) | Secondary |
| Provider Name | Bruening Foot And Ankle Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912145327 PECOS PAC ID: 6901079409 Enrollment ID: O20111028000097 |
| Provider Name | Empire Foot And Ankle Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205387461 PECOS PAC ID: 1254617244 Enrollment ID: O20170405001009 |
| Provider Name | Jig Podiatry Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1811779655 PECOS PAC ID: 4082053020 Enrollment ID: O20240423003420 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacob Irving Green, DPM 1680 Chambers St Ste 201, Eugene, OR 97402-3655 Ph: (541) 683-3351 | Dr Jacob Irving Green, DPM 1680 Chambers St Ste 201, Eugene, OR 97402-3655 Ph: (541) 683-3351 |
Thomas H Yates, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1060 Chambers St, Eugene, OR 97402 Phone: 541-342-3373 | |
Oregon Foot & Ankle Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 755 East 11th Avenue, Suite 200, Eugene, OR 97401 Phone: 541-344-5144 Fax: 541-344-5504 | |
Dr. Drew Pearson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1400 Valley River Dr Ste 210, Eugene, OR 97401 Phone: 541-600-4630 Fax: 877-370-7523 | |
Dr. Todd Allen Muhly, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 911 Country Club Rd, Suite 200, Eugene, OR 97401 Phone: 541-345-8111 Fax: 541-345-8864 | |
Zachary Brooks, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 600 Country Club Rd, Eugene, OR 97401 Phone: 541-687-4906 Fax: 541-463-2806 | |
Scott Robertson, DPM Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 1060 Chambers St, Eugene, OR 97402 Phone: 541-342-3373 Fax: 541-342-3373 | |
Edalyn Mendoza Ko, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1400 Valley River Dr Ste 210, Eugene, OR 97401 Phone: 541-600-4630 Fax: 877-370-7523 |