| Dr Wesley C Green, MD | |
|
705 Insight Ave, O Fallon, IL 62269-2146 | |
| (618) 738-0337 | |
| Not Available |
| Full Name | Dr Wesley C Green |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 12 Years |
| Location | 705 Insight Ave, O Fallon, Illinois |
| 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 |
|---|---|---|---|
| 1851736037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 2017006915 (Missouri) | Primary |
| 207W00000X | Ophthalmology | 036174940 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Barnes Jewish Hospital | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ideal Eye Surgery Llc | 7315200888 | 6 |
| Washington University | 9830008770 | 2782 |
| Ideal Eye Surgery Llc | 7315200888 | 6 |
| Entity Name | Washington University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013957562 PECOS PAC ID: 9830008770 Enrollment ID: O20040607000203 |
| Entity Name | Ideal Eye Surgery Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366966186 PECOS PAC ID: 7315200888 Enrollment ID: O20200210000887 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Wesley C Green, MD 705 Insight Ave, O Fallon, IL 62269-2146 Ph: (314) 391-9400 | Dr Wesley C Green, MD 705 Insight Ave, O Fallon, IL 62269-2146 Ph: (618) 738-0337 |
Nicole Lowrey, MD, PHD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 705 Insight Ave, O Fallon, IL 62269 Phone: 618-391-1660 Fax: 618-861-6003 | |
Cameron Joseph Evans, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 705 Insight Ave, O Fallon, IL 62269 Phone: 618-391-1660 Fax: 618-861-6003 | |
Dr. Michael Vincent Stock, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 705 Insight Ave, O Fallon, IL 62269 Phone: 618-391-1660 Fax: 618-861-6003 | |
Whitney Marlow, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 705 Insight Ave, O Fallon, IL 62269 Phone: 618-391-1660 Fax: 618-861-6003 |