| Douglas Green, MD | |
|
1350 S Hickory Street, Melbourne, FL 32901 | |
| (321) 254-6218 | |
| (321) 254-6230 |
| Full Name | Douglas Green |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 29 Years |
| Location | 1350 S Hickory Street, Melbourne, Florida |
| 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 |
|---|---|---|---|
| 1134109267 | NPI | - | NPPES |
| 01899 | Other | FL | BCBS |
| 260906100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | ME0081481 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Parrish Medical Center | Titusville, FL | Hospital |
| Steward Sebastian River Medical Center | Sebastian, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Physicians Of Central Florida Llp | 1850296567 | 121 |
| Inphynet Contracting Services Llc | 7416865811 | 169 |
| Entity Name | Emergency Medicine Services Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas Green, MD Po Box 361907, Melbourne, FL 32906-1907 Ph: (321) 254-6218 | Douglas Green, MD 1350 S Hickory Street, Melbourne, FL 32901 Ph: (321) 254-6218 |
Corey Alvarez, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901 Phone: 321-837-3820 | |
Dr. Elisha Anne Montgomery, MBBS Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1775 W. Hibiscus Blvd St 215, Melbourne, FL 32901 Phone: 213-802-6860 | |
Dr. Marty R Brown, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 S Hickory Street, Melbourne, FL 32901 Phone: 321-254-6218 Fax: 321-254-6218 | |
Johnny J Vazquez, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 S Hickory Street, Melbourne, FL 32901 Phone: 321-254-6218 Fax: 321-254-6230 | |
Vinay K Mehindru, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2080 W Eau Gallie Blvd, Suite A, Melbourne, FL 32935 Phone: 321-254-6218 Fax: 321-254-6230 | |
Dana Mathew, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 Hickory St, Melbourne, FL 32901 Phone: 321-434-7000 | |
Dr. John P Griffin, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1350 S Hickory Street, Melbourne, FL 32901 Phone: 321-254-6218 Fax: 321-254-6230 |