| Dr Daniel Robert Green, DNP, NP-C | |
|
1235 N Mulford Rd Ste 222, Rockford, IL 61107-3879 | |
| (815) 397-8400 | |
| (815) 229-0050 |
| Full Name | Dr Daniel Robert Green |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1235 N Mulford Rd Ste 222, Rockford, 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 |
|---|---|---|---|
| 1407309982 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Fhn Memorial Hospital | Freeport, IL | Hospital |
| Katherine Shaw Bethea Hospital | Dixon, IL | Hospital |
| Swedish American Hospital | Rockford, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Pain Management Services, Ltd. | 4284693755 | 6 |
| Swedishamerican Hospital | 5799698346 | 332 |
| Entity Name | Swedishamerican Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962451732 PECOS PAC ID: 5799698346 Enrollment ID: O20031215000012 |
| Entity Name | Medical Pain Management Services, Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447276480 PECOS PAC ID: 4284693755 Enrollment ID: O20041008001112 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel Robert Green, DNP, NP-C 1235 N Mulford Rd, Rockford, IL 61107-3879 Ph: (815) 397-8400 | Dr Daniel Robert Green, DNP, NP-C 1235 N Mulford Rd Ste 222, Rockford, IL 61107-3879 Ph: (815) 397-8400 |
Misty Lynn Dehaven, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1639 N Alpine Rd Ste 260, Rockford, IL 61107 Phone: 815-395-1500 Fax: 815-395-1415 | |
Mariola U Grzeszczyk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5875 E Riverside Blvd, Rockford, IL 61114 Phone: 815-398-9491 Fax: 815-381-7498 | |
Candice Vicencio, DNP, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4215 Newburg Rd, Rockford, IL 61108 Phone: 815-988-8500 Fax: 815-977-5956 | |
Caryn Ann Ruzic, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 W State St, Rockford, IL 61102 Phone: 815-490-1600 Fax: 815-490-1881 | |
Tyler James Rafferty, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 | |
Valerie Kae Wright, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3259 Montlake Dr, Rockford, IL 61114 Phone: 815-238-6833 | |
Angela Giardono, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5666 E State St, Rockford, IL 61108 Phone: 815-226-2000 |