| Adam W Green, MD | |
|
3101 Se 14th St, Bentonville, AR 72712-4900 | |
| (479) 986-6199 | |
| (479) 636-0371 |
| Full Name | Adam W Green |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 17 Years |
| Location | 3101 Se 14th St, Bentonville, Arkansas |
| 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 |
|---|---|---|---|
| 1861620213 | NPI | - | NPPES |
| P01507946 | Other | AR | RR MEDICARE |
| 204518001 | Medicaid | AR | |
| 1861620213 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | E-8330 (Arkansas) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | E-8330 (Arkansas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Northwest Arkansas | Rogers, AR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Northwest Arkansas Communities | 0648177873 | 296 |
| Mercy Hospital Rogers | 3072570142 | 4 |
| Entity Name | Mercy Health Northwest Arkansas Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265490916 PECOS PAC ID: 0648177873 Enrollment ID: O20031216000788 |
| Entity Name | Anesthesia Services Of Benton County Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013084482 PECOS PAC ID: 2264405844 Enrollment ID: O20040813000287 |
| Entity Name | Mercy Health Northwest Arkansas Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699076737 PECOS PAC ID: 0648177873 Enrollment ID: O20110330000454 |
| Entity Name | Mercy Hospital Rogers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316902414 PECOS PAC ID: 3072570142 Enrollment ID: O20240318001147 |
| Mailing Address | Practice Location Address |
|---|---|
| Adam W Green, MD Po Box 776084, Chicago, IL 60677-6084 Ph: (314) 543-6979 | Adam W Green, MD 3101 Se 14th St, Bentonville, AR 72712-4900 Ph: (479) 986-6199 |
David Benson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3101 Se 14th St, Bentonville, AR 72712 Phone: 479-986-6199 Fax: 479-636-0371 | |
Todd Barlow, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3000 Medical Center Pkwy, Bentonville, AR 72712 Phone: 479-563-4368 Fax: 847-615-2858 | |
Dr. Loren Sharri Guzman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2900 Medical Center Pkwy Suite 110, Bentonville, AR 72712 Phone: 479-715-4262 | |
Dr. Rajeev K Samuel, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3000 Medical Center Pkwy, Bentonville, AR 72712 Phone: 479-553-1000 | |
Crystal Gayle Coulter, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1101 Thornridge Rd, Bentonville, AR 72713 Phone: 731-803-2022 | |
Dr. Nicholas Benjamin Camp, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2900 Medical Center Pkwy Ste 110, Bentonville, AR 72712 Phone: 479-715-4262 Fax: 866-817-7601 |