| Thomas E Green, DO | |
|
20201 Crawford Avenue, Olympia Fields, IL 60461 | |
| (708) 747-4000 | |
| (866) 520-0761 |
| Full Name | Thomas E Green |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 27 Years |
| Location | 20201 Crawford Avenue, Olympia Fields, Illinois |
| 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 |
|---|---|---|---|
| 1689668808 | NPI | - | NPPES |
| 90001358 | Other | IL | BSBSIL |
| 200401690 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 02002714A (Indiana) | Primary |
| 207P00000X | Emergency Medicine | 036110102 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Francis Hospital Muskogee | Muskogee, OK | Hospital |
| Mountain Vista Medical Center, Lp | Mesa, AZ | Hospital |
| Saint Francis Hospital, Inc | Tulsa, OK | Hospital |
| Broadlawns Medical Center | Des moines, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Broadlawns Medical Center | 3678466166 | 257 |
| Usacs Of Colorado Inc | 4981507571 | 43 |
| Entity Name | Broadlawns Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467447508 PECOS PAC ID: 3678466166 Enrollment ID: O20040206000913 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas E Green, DO 4535 Dressler Road Nw, Canton, OH 44718 Ph: (330) 493-4443 | Thomas E Green, DO 20201 Crawford Avenue, Olympia Fields, IL 60461 Ph: (708) 747-4000 |
Afshan Jehan Ahmed, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Dr. Neil B Shah, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Nicholas Kulas, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Dr. Ravi Sankar Dodda, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Anthony Nguyen, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Attn: Postdoctoral Education, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Dr. Justin Anthony Rapoff, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-747-4000 | |
Dr. Christopher Markus Colbert, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-744-4000 |