| Dr Allen Green Jr, MD | |
|
500 Thomas Ln Ste 3a, Columbus, OH 43214-1419 | |
| (843) 331-8330 | |
| Not Available |
| Full Name | Dr Allen Green Jr |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 500 Thomas Ln Ste 3a, Columbus, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043848260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | U4809 (Texas) | Primary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | FG3002514 (Ohio) | Secondary |
| Entity Name | Vpa Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679510499 PECOS PAC ID: 7618911660 Enrollment ID: O20050610000702 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190520001486 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Allen Green Jr, MD Po Box 7527, Dublin, OH 43017-0727 Ph: () - | Dr Allen Green Jr, MD 500 Thomas Ln Ste 3a, Columbus, OH 43214-1419 Ph: (843) 331-8330 |
Young Suk Kwon, MD General Practice Medicare: May Accept Medicare Assignments Practice Location: 460 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8415 Fax: 614-293-4044 | |
Eric Dirks, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: 5100 W Broad St, Columbus, OH 43228 Phone: 614-544-2780 Fax: 614-544-1727 | |
Leigh Hughey, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: 5100 W Broad St, Columbus, OH 43228 Phone: 614-544-1000 | |
Chaitanya Bukkapatnam, MD, MBA General Practice Medicare: May Accept Medicare Assignments Practice Location: 881 E Main St, Columbus, OH 43205 Phone: 614-253-8537 | |
Dr. Joseph Eugene Crea, D.O. General Practice Medicare: Not Enrolled in Medicare Practice Location: 100 E Campus View Blvd, One Crosswoods, Suite 250, Columbus, OH 43235 Phone: 614-499-7202 Fax: 614-438-2612 | |
Marissa C. Grant, DO General Practice Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8487 Fax: 614-293-8153 |