| Dr Michael A Greene, MD | |
|
816 Us Highway 1, Sebastian, FL 32958-4141 | |
| (772) 581-5848 | |
| (772) 581-5849 |
| Full Name | Dr Michael A Greene |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 39 Years |
| Location | 816 Us Highway 1, Sebastian, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982690269 | NPI | - | NPPES |
| 330004682 | Other | FL | MEDICARE RAILROAD ID |
| 373207000 | Medicaid | FL | |
| 593493501 | Other | FL | GROUP TAX ID |
| 8179974003 | Other | FL | INDIVIDUAL CIGNA ID |
| 21810 | Other | FL | GROUP BCBS ID |
| 254440700 | Medicaid | FL | |
| 68633 | Other | FL | INDIVIDUAL BCBS ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | ME65689 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Steward Sebastian River Medical Center | Sebastian, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Steward Medical Group Inc | 2860688728 | 602 |
| Knd Development 59 Llc | 3678602802 | 128 |
| Orlando Health Medical Group Inc | 9537059084 | 1810 |
| Entity Name | University Of Florida Jacksonville Physicians, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144276452 PECOS PAC ID: 9133025869 Enrollment ID: O20040128000786 |
| Entity Name | Orlando Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
| Entity Name | Knd Development 59 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245569870 PECOS PAC ID: 3678602802 Enrollment ID: O20100908000056 |
| Entity Name | Steward Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356654495 PECOS PAC ID: 2860688728 Enrollment ID: O20170602001215 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael A Greene, MD 816 Us Highway 1, Sebastian, FL 32958-4141 Ph: (772) 581-5848 | Dr Michael A Greene, MD 816 Us Highway 1, Sebastian, FL 32958-4141 Ph: (772) 581-5848 |