| Dr Patrick Nelson Green, MD | |
|
134 W 1180 N, Suite # 5, Tooele, UT 84074 | |
| (435) 248-0333 | |
| (435) 248-0334 |
| Full Name | Dr Patrick Nelson Green |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 19 Years |
| Location | 134 W 1180 N, Tooele, Utah |
| 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 |
|---|---|---|---|
| 1144431800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0401X | Family Medicine - Addiction Medicine | 6846499-8905 (Utah) | Secondary |
| 207Q00000X | Family Medicine | 6846499-1205 (Utah) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harmony Home Health | Murray, UT | Home health agency |
| Mountain West Medical Center | Tooele, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Patrick Green Md Pllc | 6204000102 | 6 |
| Entity Name | Patrick Green Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518256650 PECOS PAC ID: 6204000102 Enrollment ID: O20111110000358 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Patrick Nelson Green, MD 134 W 1180 N, Suite # 5, Tooele, UT 84074 Ph: (435) 248-0333 | Dr Patrick Nelson Green, MD 134 W 1180 N, Suite # 5, Tooele, UT 84074 Ph: (435) 248-0333 |
Blake Richard Beazer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2356 N 400 E, Ste 201, Tooele, UT 84074 Phone: 435-882-2350 Fax: 435-882-2039 | |
Dr. Carolyn Forbes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2376 N 400 E, Ste 102, Tooele, UT 84074 Phone: 435-843-1225 Fax: 435-843-1228 | |
Dr. An Tuong Dinh, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 Millpond, Tooele, UT 84074 Phone: 435-843-3647 Fax: 435-775-9272 | |
Sergio Abarca, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2356 N 400 E, Ste 201, Tooele, UT 84074 Phone: 435-882-2350 Fax: 435-882-2039 | |
Dr. Jay Myron Spector, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1929 Aaron Dr, Suite I, Tooele, UT 84074 Phone: 435-833-0229 Fax: 435-833-0231 | |
Nicole Patrone, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 58 S Main St, Tooele, UT 84074 Phone: 435-233-7900 |