| Dr Keva T Green, MD | |
|
1000 Waterman Way, Tavares, FL 32778-5266 | |
| (352) 253-3333 | |
| (317) 705-5047 |
| Full Name | Dr Keva T Green |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 7 Years |
| Location | 1000 Waterman Way, Tavares, Florida |
| 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 |
|---|---|---|---|
| 1730649690 | NPI | - | NPPES |
| 122767100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | ME168386 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Orlando | Orlando, FL | Hospital |
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Adventhealth Waterman | Tavares, FL | Hospital |
| Adventhealth Deland | Deland, FL | Hospital |
| Adventhealth New Smyrna Beach | New smyrna beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Medical Group Inc | 0042383200 | 329 |
| Florida Radiology Imaging At Lake Mary Llc | 1254311137 | 280 |
| Florida Hospital Medical Group Inc | 0042383200 | 329 |
| Entity Name | Mayo Clinic Jacksonville |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790772317 PECOS PAC ID: 5698689297 Enrollment ID: O20031118000388 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keva T Green, MD 2600 Westhall Ln Ste 4, Maitland, FL 32751-7102 Ph: (407) 200-2355 | Dr Keva T Green, MD 1000 Waterman Way, Tavares, FL 32778-5266 Ph: (352) 253-3333 |
Dr. Maria Flynn, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-253-3333 Fax: 317-705-5047 | |
Eric Williams, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-253-3333 Fax: 317-705-5047 | |
Rohan M Watson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Waterman Way, Attn: Radiology Dept, Tavares, FL 32778 Phone: 352-253-3333 | |
Dr. Jeffrey Gray Brabham, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2010 Nightingale Lane, Tavares, FL 32778 Phone: 352-742-3045 Fax: 352-742-3169 | |
Paul R Karlinsky, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Waterman Way, Attn: Radiology Dept, Tavares, FL 32778 Phone: 352-253-3333 | |
Dr. Roberto Ricardo Galuppo Monticelli, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Waterman Way, Tavares, FL 32778 Phone: 352-253-3333 Fax: 317-705-5047 |