| Dr Michael Patrick Green, MD | |
|
4353 Hwy 1 S, Port Allen, LA 70767-5826 | |
| (225) 749-2645 | |
| (225) 765-8216 |
| Full Name | Dr Michael Patrick Green |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | 4353 Hwy 1 S, Port Allen, Louisiana |
| 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 |
|---|---|---|---|
| 1154400687 | NPI | - | NPPES |
| 1575470 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 024770 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ochsner Medical Center - Baton Rouge | Baton rouge, LA | Hospital |
| Our Lady Of The Lake Regional Medical Center | Baton rouge, LA | Hospital |
| Landmark Of Plaquemine | Plaquemine, LA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Our Lady Of The Lake Physician Group Llc | 4587849781 | 579 |
| Entity Name | Our Lady Of The Lake Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Patrick Green, MD 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 765-5727 | Dr Michael Patrick Green, MD 4353 Hwy 1 S, Port Allen, LA 70767-5826 Ph: (225) 749-2645 |
Santhosh K Reddy, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 970 N Alexander Ave, Port Allen, LA 70767 Phone: 225-383-6363 Fax: 225-383-6367 | |
Dr. Noemie M Safford, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4830 S River Rd, Port Allen, LA 70767 Phone: 225-892-3923 Fax: 225-223-6468 | |
Dr. Gerard Fernand Falgoust, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 766 W Lake Dr, Port Allen, LA 70767 Phone: 225-776-0730 Fax: 225-256-2827 |