| Dr Daniel Joseph Green, MD | |
|
865 S 1st St, Jesup, GA 31545-0210 | |
| (912) 530-3176 | |
| Not Available |
| Full Name | Dr Daniel Joseph Green |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 865 S 1st St, Jesup, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336130111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 053230 (Georgia) | Primary |
| 207P00000X | Emergency Medicine | 53230 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wayne Memorial Hospital | Jesup, GA | Hospital |
| Liberty Regional Medical Center | Hinesville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southland Optim Jenkins Emergency Medical Services, Llc | 9537461538 | 17 |
| Entity Name | Hospital Authority Of Wayne County Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366506222 PECOS PAC ID: 5698663854 Enrollment ID: O20040309000521 |
| Entity Name | Wayne Emergency Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982828943 PECOS PAC ID: 6103926241 Enrollment ID: O20070703000148 |
| Entity Name | Southland Bainbridge Hospitalist Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356735336 PECOS PAC ID: 7214248335 Enrollment ID: O20150616002069 |
| Entity Name | Southland Optim Screven Emergency Medical Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174917157 PECOS PAC ID: 9739480021 Enrollment ID: O20151210000476 |
| Entity Name | Southland Optim Jenkins Emergency Medical Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265826242 PECOS PAC ID: 9537461538 Enrollment ID: O20160107002680 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel Joseph Green, MD 865 S 1st St, Jesup, GA 31545-0210 Ph: (912) 530-3176 | Dr Daniel Joseph Green, MD 865 S 1st St, Jesup, GA 31545-0210 Ph: (912) 530-3176 |
Dr. Randy Lentz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 182 Sunset Blvd, Jesup, GA 31545 Phone: 912-385-2102 Fax: 912-385-2180 | |
Megan E Mizell, FNP-BC Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 391 S 1st St, Jesup, GA 31545 Phone: 912-427-8433 | |
Dr. Dorothy Karen Nelder, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 930 S 1st St, Jesup, GA 31545 Phone: 912-427-7790 Fax: 912-427-7707 | |
Robert L. Phillips, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 330 Peachtree St, Jesup, GA 31545 Phone: 912-427-6964 Fax: 912-427-0591 |