Dora Renee Green, CRNA in Port Matilda, PA - Medicare Certified Registered Nurse Anesthetist (crna)

Dora Renee Green, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Port Matilda, Pennsylvania. She graduated from nursing school in 2000 and has 26 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Kings Daughters Medical Specialties Inc, Covenant Anesthesia Group Pc and her current practice location is 132 Abigail Ln, Port Matilda, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 272-5011.

Dora Renee Green is licensed to practice in Pennsylvania (license number RN264780) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245217124.

Contact Information

	Dora Renee Green, CRNA
	132 Abigail Ln, Port Matilda, PA 16870-7153
	(814) 272-5011
	(814) 272-6531

Map and Direction

Provider's Profile

Full Name	Dora Renee Green
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	26 Years
Location	132 Abigail Ln, Port Matilda, Pennsylvania
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dora Renee Green graduated from nursing school in 2000

NPI Data:

NPI Number: 1245217124
Provider Enumeration Date: 12/30/2005
Last Update Date: 03/09/2026

Medicare PECOS Information:

PECOS PAC ID: 2961677927
Enrollment ID: I20111202000653

Medical Identifiers

Medical identifiers for Dora Renee Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245217124	NPI	-	NPPES
2247661	Medicaid	OH
728022	Other		BUCKEYE
74006495	Medicaid	KY
000001092366	Other	IN	ANTHEM PROVIDER NUMBER
000000196948	Other		ANTHEM BLUE SHIELD
300004136	Medicaid	IN
617576	Other	KY	WELLCARE
200371350	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN264780 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kings Daughters Medical Center Ohio	Portsmouth, OH	Hospital
Methodist Medical Center Of Oak Ridge	Oak ridge, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kings Daughters Medical Specialties Inc	6103968029	391
Covenant Anesthesia Group Pc	6901795830	234

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dora Renee Green allows following entities to bill medicare on her behalf.

Entity Name	Southwest Ohio Anesthesia Consultants Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588645188 PECOS PAC ID: 6901700640 Enrollment ID: O20031124000399

Entity Name	Outpatient Anesthesia Specialists
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891976643 PECOS PAC ID: 1456431162 Enrollment ID: O20080108000408

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dora Renee Green is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dora Renee Green, CRNA 100 N Academy Ave Ste 6&7, Danville, PA 17822-4903 Ph: (814) 272-5011	Dora Renee Green, CRNA 132 Abigail Ln, Port Matilda, PA 16870-7153 Ph: (814) 272-5011

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Port Matilda, PA

Mrs. Stephanie Rebecca Hanlon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 132 Abigail Ln, Port Matilda, PA 16870 Phone: 814-272-5011 Fax: 814-272-6531
Miss Nivedita S Rao, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 132 Abigail Ln, Port Matilda, PA 16870 Phone: 814-272-5011 Fax: 814-272-6531
Sara Krauth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 132 Abigail Ln, Port Matilda, PA 16870 Phone: 814-272-5011 Fax: 814-272-6531
Mrs. Lynne Ann Von Hinken, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 132 Abigail Ln, Port Matilda, PA 16870 Phone: 814-272-5011 Fax: 814-272-6531

Dora Renee Green, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Port Matilda, PA