| Jeffery Green, MD | |
|
800 Medical Center Dr, Fairmont, MN 56031-4575 | |
| (507) 238-8555 | |
| Not Available |
| Full Name | Jeffery Green |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 28 Years |
| Location | 800 Medical Center Dr, Fairmont, Minnesota |
| 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 |
|---|---|---|---|
| 1215911904 | NPI | - | NPPES |
| 01-13052 | Other | MN | MEDICA |
| 150697 | Medicaid | FM | |
| 007R5GR | Other | MN | BCBS |
| 3153445 | Medicaid | MN | |
| 398640300 | Medicaid | MN | |
| A037 | Other | MN | CHAMPUS |
| MH9041024627 | Other | MN | PPO |
| 1053638 | Other | MN | ARAZ |
| 007R5GR | Other | MN | BCBS/MEDICARE SUPPLEMENT |
| 007R5GR | Medicaid | MN | |
| 20227 | Other | MN | SIOUX VALLEY |
| HP30910 | Other | MN | HEALTH PARTNERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 42651 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adara Home Health Inc | Buffalo, MN | Home health agency |
| Mayo Clinic Health System - Fairmont | Fairmont, MN | Hospital |
| Mayo Clinic Health System - Mankato | Mankato, MN | Hospital |
| Mayo Clinic Health System - St James | St james, MN | Hospital |
| Lakeview Methodist Health Care Center | Fairmont, MN | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Health System-fairmont | 4981694981 | 139 |
| Entity Name | Mayo Clinic Health System-fairmont |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366410862 PECOS PAC ID: 4981694981 Enrollment ID: O20040719000142 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffery Green, MD 800 Medical Center Dr, Fairmont, MN 56031-4575 Ph: (507) 238-8555 | Jeffery Green, MD 800 Medical Center Dr, Fairmont, MN 56031-4575 Ph: (507) 238-8555 |
Denise Schavey, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1950 Center Creek Dr, Suite 100, Fairmont, MN 56031 Phone: 507-238-4968 | |
Timothy Bachenberg, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8555 | |
Steven Edward Parnell, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1950 Center Creek Dr, Suite 100, Fairmont, MN 56031 Phone: 507-238-4968 | |
Mark Wolverton, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8555 | |
Bartlett Eriksen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8555 | |
Erik Burnison, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Medical Center Dr, Fairmont, MN 56031 Phone: 507-238-8100 |