Dr Daniel Joseph Green, MD | |
865 S 1st St, Jesup, GA 31545-0210 | |
(912) 530-3176 | |
Not Available |
Full Name | Dr Daniel Joseph Green |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 23 Years |
Location | 865 S 1st St, Jesup, Georgia |
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 |
---|---|---|---|
1336130111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 053230 (Georgia) | Primary |
207P00000X | Emergency Medicine | 53230 (Georgia) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Wayne Memorial Hospital | Jesup, GA | Hospital |
Liberty Regional Medical Center | Hinesville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wayne Emergency Group Llc | 6103926241 | 5 |
Southland Optim Jenkins Emergency Medical Services, Llc | 9537461538 | 17 |
Entity Name | Hospital Authority Of Wayne County Georgia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366506222 PECOS PAC ID: 5698663854 Enrollment ID: O20040309000521 |
Entity Name | Wayne Emergency Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982828943 PECOS PAC ID: 6103926241 Enrollment ID: O20070703000148 |
Entity Name | Southland Bainbridge Hospitalist Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356735336 PECOS PAC ID: 7214248335 Enrollment ID: O20150616002069 |
Entity Name | Southland Optim Screven Emergency Medical Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174917157 PECOS PAC ID: 9739480021 Enrollment ID: O20151210000476 |
Entity Name | Southland Optim Jenkins Emergency Medical Services, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265826242 PECOS PAC ID: 9537461538 Enrollment ID: O20160107002680 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel Joseph Green, MD 865 S 1st St, Jesup, GA 31545-0210 Ph: (912) 530-3176 | Dr Daniel Joseph Green, MD 865 S 1st St, Jesup, GA 31545-0210 Ph: (912) 530-3176 |
Kevin O. Keown, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 330 Peachtree St, Jesup, GA 31545 Phone: 912-427-6964 Fax: 912-427-0591 | |
Dr. Randy Lentz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 182 Sunset Blvd, Jesup, GA 31545 Phone: 912-385-2102 Fax: 912-385-2180 | |
Megan E Mizell, FNP-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 391 S 1st St, Jesup, GA 31545 Phone: 912-427-8433 | |
Dr. Dorothy Karen Nelder, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 930 S 1st St, Jesup, GA 31545 Phone: 912-427-7790 Fax: 912-427-7707 | |
Dr. Derek Paul Baudoin, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3100 Savannah Hwy, Jesup, GA 31545 Phone: 912-427-6873 | |
Dr. Jeffrey Lee Harris, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 371 Peachtree St, Jesup, GA 31545 Phone: 912-530-7301 Fax: 912-530-7302 |