| Dr Jacinta Green, MD | |
|
9401 Holy Cross Ln, Breese, IL 62230-3510 | |
| (618) 526-7271 | |
| Not Available |
| Full Name | Dr Jacinta Green |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 17 Years |
| Location | 9401 Holy Cross Ln, Breese, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982830238 | NPI | - | NPPES |
| 036139092 | Medicaid | IL |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bjc Hospice | Glen carbon, IL | Hospice |
| Hospice Of Southern Illinois, Inc | Belleville, IL | Hospice |
| Unity Hospice Of Greater St Louis | Collinsville, IL | Hospice |
| St Josephs Hospital | Breese, IL | Hospital |
| Missouri Baptist Medical Center | Town and country, MO | Hospital |
| La Bella Of Caseyville | Caseyville, IL | Nursing home |
| La Bella Of Mascoutah | Mascoutah, IL | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Theoria Medical | 5395098339 | 317 |
| Complexcare Medical Group Midwest H Pllc | 0143737148 | 128 |
| St Josephs Hospital Breese Of The Hospital Sisters Of The Third Orde | 9638064892 | 33 |
| Entity Name | St Josephs Hospital Breese of the Hospital Sisters of the Third Orde |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457319154 PECOS PAC ID: 9638064892 Enrollment ID: O20040217000493 |
| Entity Name | HSHS Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962644807 PECOS PAC ID: 5092857821 Enrollment ID: O20100116000275 |
| 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: O20190507001451 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20241001000333 |
| Entity Name | Complexcare Medical Group Midwest H PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457144933 PECOS PAC ID: 0143737148 Enrollment ID: O20250905003724 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacinta Green, MD 825 Woodlea Rd, Kankakee, IL 60901-8199 Ph: (815) 937-0552 | Dr Jacinta Green, MD 9401 Holy Cross Ln, Breese, IL 62230-3510 Ph: (618) 526-7271 |
Dr. James Henry Wells, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 9459 Holy Cross Ln, Breese, IL 62230 Phone: 618-526-2555 Fax: 618-526-2781 |