| Jeffrey W Green, MD | |
|
7945 Wolf River Blvd, Germantown, TN 38138-1762 | |
| (901) 683-0055 | |
| (901) 685-2969 |
| Full Name | Jeffrey W Green |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 29 Years |
| Location | 7945 Wolf River Blvd, Germantown, Tennessee |
| 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 |
|---|---|---|---|
| 1922046200 | NPI | - | NPPES |
| 00126459 | Medicaid | MS | |
| 205887201 | Medicaid | MO | |
| Q014089 | Medicaid | TN | |
| 145117001 | Medicaid | AR | |
| T13426A | Other | TN | MEDICARE TN |
| 1A7288 | Other | MS | MEDICARE MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD029757 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The West Clinic, Pllc | 2668360579 | 112 |
| Shelby County Health Care Corporation | 6608784855 | 22 |
| The West Clinic, Pllc | 2668360579 | 112 |
| Entity Name | East Memphis Pet Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124130687 PECOS PAC ID: 8820902190 Enrollment ID: O20031119000625 |
| Entity Name | The West Clinic, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447276605 PECOS PAC ID: 2668360579 Enrollment ID: O20040315000610 |
| Entity Name | Shelby County Health Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780685750 PECOS PAC ID: 6608784855 Enrollment ID: O20040709001071 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey W Green, MD 7714 Poplar Ave Ste 200, Germantown, TN 38138-3941 Ph: (901) 683-0055 | Jeffrey W Green, MD 7945 Wolf River Blvd, Germantown, TN 38138-1762 Ph: (901) 683-0055 |
Dr. Joseph Patrick Blankinship Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7695 Poplar Pike, Germantown, TN 38138 Phone: 901-685-2696 | |
Dr. Richard G Bates, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7695 Poplar Pike, Suite 101, Germantown, TN 38138 Phone: 901-685-2696 | |
Dr. Hollis H Halford Iii, MD Radiology Medicare: Medicare Enrolled Practice Location: 7695 Poplar Pike, Suite 101, Germantown, TN 38138 Phone: 901-685-2696 | |
Dr. Joel Evan Perchik, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7600 Wolf River Blvd Ste 200, Germantown, TN 38138 Phone: 901-747-1007 Fax: 901-531-7199 | |
Dr. William E Routt Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 7695 Poplar Pike, Suite 101, Germantown, TN 38138 Phone: 901-685-2696 | |
Dr. James S Hausmann, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7695 Poplar Pike, Suite 101, Germantown, TN 38138 Phone: 901-685-2696 | |
Dr. Jennifer R Boals, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7695 Poplar Pike, Suite 101, Germantown, TN 38138 Phone: 901-685-2696 |