| Thomas Green, MD | |
|
534 Caratoke Hwy, Moyock, NC 27958-8740 | |
| (252) 435-6621 | |
| (252) 435-2685 |
| Full Name | Thomas Green |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 534 Caratoke Hwy, Moyock, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003902008 | NPI | - | NPPES |
| 1294M | Other | NC | BCBS OF NC |
| P00115557 | Other | NC | MEDICARE RAILROAD |
| 891294M | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 01-01054 (North Carolina) | Primary |
| Entity Name | Hospitalist Medicine Physicians of West Virginia, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649575101 PECOS PAC ID: 2860674488 Enrollment ID: O20110303000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Green, MD Po Box 11314, Belfast, ME 04915-4004 Ph: (757) 842-4481 | Thomas Green, MD 534 Caratoke Hwy, Moyock, NC 27958-8740 Ph: (252) 435-6621 |
Dr. Forrest P Old Jr., MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 534 Caratoke Hwy, Moyock, NC 27958 Phone: 252-435-6621 Fax: 252-435-2685 |
Dipes K Ray, M.D., MRCP Internal Medicine Medicare: Medicare Enrolled Practice Location: 446 Caratoke Hwy, Moyock, NC 27958 Phone: 252-435-1275 Fax: 855-348-4480 |