| Justin Green, | |
|
3917 West Rd Ste A, Los Alamos, NM 87544-2292 | |
| (505) 661-8900 | |
| Not Available |
| Full Name | Justin Green |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 32 Years |
| Location | 3917 West Rd Ste A, Los Alamos, New Mexico |
| 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 |
|---|---|---|---|
| 1114966462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 4568 (South Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Los Alamos Medical Center | Los alamos, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Associates Of Northern New Mexico | 1557354339 | 15 |
| Entity Name | Medical Associates Of Northern New Mexico |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073501508 PECOS PAC ID: 1557354339 Enrollment ID: O20040407000155 |
| Entity Name | Los Alamos Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750330510 PECOS PAC ID: 4587661541 Enrollment ID: O20061104000041 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Green, 3917 West Rd, Los Alamos, NM 87544-2275 Ph: (505) 661-8900 | Justin Green, 3917 West Rd Ste A, Los Alamos, NM 87544-2292 Ph: (505) 661-8900 |
Dr. Rodney Jay Barker, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3917 West Rd, Suite #125, Los Alamos, NM 87544 Phone: 505-661-3030 Fax: 505-662-9024 | |
Dr. Billy Michael Jackson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3917 West Rd, Suite 150, Los Alamos, NM 87544 Phone: 505-662-4351 Fax: 505-662-4351 |