| Barry Lee Green, DO | |
|
1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 | |
| (570) 808-7916 | |
| (570) 808-6006 |
| Full Name | Barry Lee Green |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 31 Years |
| Location | 1000 E Mountain Dr, Wilkes Barre, Pennsylvania |
| 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 |
|---|---|---|---|
| 1033156112 | NPI | - | NPPES |
| 0019596100006 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | OS012339 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regional Hospital Of Scranton | Scranton, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scranton Quincy Clinic Company Llc | 0143487389 | 70 |
| Entity Name | Scranton Quincy Clinic Company Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508143074 PECOS PAC ID: 0143487389 Enrollment ID: O20120131000544 |
| Mailing Address | Practice Location Address |
|---|---|
| Barry Lee Green, DO 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 808-7916 | Barry Lee Green, DO 1000 E Mountain Dr, Wilkes Barre, PA 18711-0027 Ph: (570) 808-7916 |
Ronald Reyes, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702 Phone: 570-808-7916 Fax: 570-808-6006 | |
Judy Hayek, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702 Phone: 570-808-7916 Fax: 570-808-6006 | |
Bonnie E.b. Osterwald, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1000 E Mountain Dr, Wilkes Barre, PA 18711 Phone: 570-808-7323 | |
Thomas More O'brien, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702 Phone: 570-808-7916 Fax: 570-808-6006 | |
Shivani Shah, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1155 E Mountain Blvd, Wilkes Barre, PA 18702 Phone: 570-808-7916 | |
Damilola Akinola, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1155 East Mountain Blvd, Wilkes Barre, PA 18702 Phone: 570-808-7916 Fax: 570-808-6006 |