| Chance Green, CRNA | |
|
5448 Highway 260 Ste 100, Lakeside, AZ 85929-5736 | |
| (928) 359-1862 | |
| (928) 537-2049 |
| Full Name | Chance Green |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 21 Years |
| Location | 5448 Highway 260 Ste 100, Lakeside, Arizona |
| 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 |
|---|---|---|---|
| 1962448480 | NPI | - | NPPES |
| 200513510 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28162181 (Indiana) | Primary |
| Entity Name | Fancy Anesthesia Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003055914 PECOS PAC ID: 1456418680 Enrollment ID: O20090316000196 |
| Entity Name | Northeastern Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487956504 PECOS PAC ID: 4284813940 Enrollment ID: O20110126001051 |
| Mailing Address | Practice Location Address |
|---|---|
| Chance Green, CRNA 135 N Center St Unit 5870, Mesa, AZ 85211-7159 Ph: (480) 874-7014 | Chance Green, CRNA 5448 Highway 260 Ste 100, Lakeside, AZ 85929-5736 Ph: (928) 359-1862 |
Melissa Green, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5080 Mogollon Rim Dr, Lakeside, AZ 85929 Phone: 480-297-5926 | |
Frank Freund, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5448 Highway 260 Ste 100, Lakeside, AZ 85929 Phone: 283-581-8629 Fax: 928-537-2049 |