Roger Elliott Green, MD | |
657 Camino De Los Mares, Suite 242, San Clemente, CA 92673 | |
(949) 496-6066 | |
(949) 496-6497 |
Full Name | Roger Elliott Green |
---|---|
Gender | Male |
Speciality | Dermatology |
Experience | 51 Years |
Location | 657 Camino De Los Mares, San Clemente, California |
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 |
---|---|---|---|
1215917968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | C36384 (California) | Primary |
Entity Name | Green Dermatologic Medical Group A Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821116054 PECOS PAC ID: 4688612161 Enrollment ID: O20050425000737 |
Mailing Address | Practice Location Address |
---|---|
Roger Elliott Green, MD 657 Camino De Los Mares, Suite 242, San Clemente, CA 92673-2826 Ph: (949) 496-6066 | Roger Elliott Green, MD 657 Camino De Los Mares, Suite 242, San Clemente, CA 92673 Ph: (949) 496-6066 |
Christopher Scott Carlin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1300 Avenida Vista Hermosa, Suite 240, San Clemente, CA 92673 Phone: 949-489-4290 Fax: 949-489-4293 | |
Richard P Klimkowski, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 224 Del Mar #b, San Clemente, CA 92672 Phone: 949-492-4671 Fax: 949-492-4330 | |
Dr. Jessica Ann Riley, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1300 Avenida Vista Hermosa Ste 150, San Clemente, CA 92673 Phone: 949-489-4290 Fax: 949-489-4293 | |
Mr. Nagi Kamil Saied, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 653 Camino De Los Mares, Suite 107, San Clemente, CA 92673 Phone: 949-489-2218 Fax: 949-496-3604 |