| Dr Jonathan M Green, MD | |
|
660 S Euclid Ave, Saint Louis, MO 63110-1010 | |
| (314) 454-8917 | |
| (314) 362-8987 |
| Full Name | Dr Jonathan M Green |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 660 S Euclid Ave, Saint Louis, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033140553 | NPI | - | NPPES |
| 208248906 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RP1001X | Internal Medicine - Pulmonary Disease | 109780 (Missouri) | Primary |
| Entity Name | Washington University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992746903 PECOS PAC ID: 9830008770 Enrollment ID: O20031119000372 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jonathan M Green, MD 660 S Euclid Ave, C B 8052, Saint Louis, MO 63110-1010 Ph: (314) 454-8917 | Dr Jonathan M Green, MD 660 S Euclid Ave, Saint Louis, MO 63110-1010 Ph: (314) 454-8917 |
Conor Mccartney, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 915 N Grand Blvd, Saint Louis, MO 63106 Phone: 314-652-4100 | |
Dr. Faris Adam Bakeer, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Dr. Rehan Rais, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Nathan Farkas, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1 Barnes Jew Hosp Plz, Saint Louis, MO 63110 Phone: 314-362-1930 | |
Dr. Randy Olivier Laine, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Barnes Jewish Hospital Plz, Div Im Hospitalist, Saint Louis, MO 63110 Phone: 314-362-1700 Fax: 314-362-9878 | |
Dr. Erin Leigh Dyer, MD Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 4901 Forest Park Ave, Div Im General Med, Ste 241, Saint Louis, MO 63108 Phone: 314-362-5060 Fax: 314-362-6959 | |
Nakul Shah, Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 1 Barnes Jewish Hospital Plz, Saint Louis, MO 63110 Phone: 314-362-5000 |