| Terra E Green, NP | |
|
1905 E Huebbe Pkwy, Beloit Clinic, Beloit, WI 53511-1842 | |
| (608) 364-2240 | |
| (608) 363-7374 |
| Full Name | Terra E Green |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 1905 E Huebbe Pkwy, Beloit, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366875908 | NPI | - | NPPES |
| 1366875908 | Medicaid | WI |
| Facility Name | Location | Facility Type |
|---|---|---|
| Beloit Health System | Beloit, WI | Hospital |
| Fort Memorial Hospital | Fort atkinson, WI | Hospital |
| Stoughton Hospital | Stoughton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Edgerton Hospital And Health Services, Inc | 7719874502 | 37 |
| Beloit Health System Inc | 8224947858 | 144 |
| Southern Wisconsin Emergency Associates Sc | 3274561055 | 47 |
| Swea Fort Sc | 0345774972 | 49 |
| Stoughton Hospital Association | 7012825706 | 67 |
| Entity Name | Dean Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Entity Name | Beloit Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679616361 PECOS PAC ID: 8224947858 Enrollment ID: O20031215000424 |
| Entity Name | Stoughton Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679558647 PECOS PAC ID: 7012825706 Enrollment ID: O20040402001358 |
| Entity Name | Southern Wisconsin Emergency Associates Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568538189 PECOS PAC ID: 3274561055 Enrollment ID: O20050802000934 |
| Mailing Address | Practice Location Address |
|---|---|
| Terra E Green, NP 1905 E Huebbe Pkwy, Beloit Health System, Beloit, WI 53511-1842 Ph: (608) 364-2200 | Terra E Green, NP 1905 E Huebbe Pkwy, Beloit Clinic, Beloit, WI 53511-1842 Ph: (608) 364-2240 |