| Ellis A Green, MD | |
|
10500 Montgomery Rd, Montgomery, OH 45242-4402 | |
| (513) 865-2246 | |
| (513) 865-5552 |
| Full Name | Ellis A Green |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 5 Years |
| Location | 10500 Montgomery Rd, Montgomery, Ohio |
| 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 |
|---|---|---|---|
| 1053931170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 125.076113 (Illinois) | Secondary |
| 207R00000X | Internal Medicine | 35.147159 (Ohio) | Secondary |
| 208M00000X | Hospitalist | 35.147159 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Good Samaritan Hospital | Cincinnati, OH | Hospital |
| Bethesda North | Cincinnati, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trihealth H Llc | 1850570458 | 759 |
| Entity Name | Trihealth H Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811215742 PECOS PAC ID: 1850570458 Enrollment ID: O20110128000356 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellis A Green, MD 10500 Montgomery Rd, Montgomery, OH 45242-4402 Ph: (513) 865-2246 | Ellis A Green, MD 10500 Montgomery Rd, Montgomery, OH 45242-4402 Ph: (513) 865-2246 |
Dr. Dennis Emuron, M.B.CH.B Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-2246 | |
Dr. Siddharth Shankar, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10506b Montgomery Rd Ste 407, Montgomery, OH 45242 Phone: 513-793-2077 Fax: 513-793-4523 | |
Katrina Lynn Centner, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-2246 Fax: 513-865-5552 | |
M Kenan Safouh Rahima, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-2246 Fax: 513-865-5552 | |
Michael Butler, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-2246 | |
Daniel Thomas Bond, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-2246 | |
Abubaker Ahmed Hassan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-2246 |