| John Willock Green, MD | |
|
561 W Central Ave, Delaware, OH 43015-1410 | |
| (740) 615-2141 | |
| (740) 615-2142 |
| Full Name | John Willock Green |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 561 W Central Ave, Delaware, 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 |
|---|---|---|---|
| 1518949106 | NPI | - | NPPES |
| 2411947 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35.081269 (Ohio) | Secondary |
| 208M00000X | Hospitalist | 35081269 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mount Carmel East & West | Columbus, OH | Hospital |
| Southeastern Ohio Regional Medical Center | Cambridge, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospitalist Medicine Physicians Of Ohio, Professional Corporation | 3779749197 | 127 |
| Ohiohealth Corporation | 6305758426 | 2085 |
| Ohio Valley Physicians Inc | 8729032966 | 100 |
| Entity Name | Ohiohealth Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545273 PECOS PAC ID: 6305758426 Enrollment ID: O20031105000532 |
| Entity Name | Ohio Valley Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962433177 PECOS PAC ID: 8729032966 Enrollment ID: O20050422000921 |
| Entity Name | Hospitalist Medicine Physicians Of Ohio, Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043572290 PECOS PAC ID: 3779749197 Enrollment ID: O20120730000162 |
| Entity Name | Select Specialty Hospital - Zanesville Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598204398 PECOS PAC ID: 0042121808 Enrollment ID: O20170627000506 |
| Entity Name | Rural Physicians Group-pannu Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891236584 PECOS PAC ID: 0345467486 Enrollment ID: O20210301000498 |
| Mailing Address | Practice Location Address |
|---|---|
| John Willock Green, MD 561 W Central Ave, Delaware, OH 43015-1410 Ph: (740) 615-2141 | John Willock Green, MD 561 W Central Ave, Delaware, OH 43015-1410 Ph: (740) 615-2141 |
Jaydip Mehta, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 561 W Central Ave, Delaware, OH 43015 Phone: 740-615-2141 Fax: 740-615-2142 |