Justin Green, | |
2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 | |
(605) 342-3280 | |
Not Available |
Full Name | Justin Green |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 30 Years |
Location | 2820 Mount Rushmore Rd, Rapid City, South Dakota |
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 |
---|---|---|---|
1114966462 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4568 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Los Alamos Medical Center | Los alamos, NM | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Los Alamos Physician Practices Llc | 4587661541 | 14 |
Entity Name | Los Alamos Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750330510 PECOS PAC ID: 4587661541 Enrollment ID: O20061104000041 |
Mailing Address | Practice Location Address |
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Justin Green, 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 Ph: () - | Justin Green, 2820 Mount Rushmore Rd, Rapid City, SD 57701-5462 Ph: (605) 342-3280 |
Wesley L Sufficool, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 211 Founders Park Dr Ste 2, Rapid City, SD 57701 Phone: 605-791-5553 Fax: 605-791-5644 | |
Dr. Matthew Julian Wideroff, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2805 5th St, Rapid City, SD 57701 Phone: 605-755-5700 Fax: 605-755-5701 | |
Michael Statz, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 | |
Dr. Tiffany Ann Frederickson, Surgery Medicare: Accepting Medicare Assignments Practice Location: 8412 Kitt Peak Rd, Rapid City, SD 57702 Phone: 515-201-8982 | |
Kristin Wempe, MD Surgery Medicare: Medicare Enrolled Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 | |
John Bedingfield, Surgery Medicare: Accepting Medicare Assignments Practice Location: 2820 Mount Rushmore Rd, Rapid City, SD 57701 Phone: 605-342-3280 |