| Jesse Meek Greene Iv, CRNA | |
|
10 E Hospital St, Manning, SC 29102-3153 | |
| (803) 378-6019 | |
| Not Available |
| Full Name | Jesse Meek Greene Iv |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 10 E Hospital St, Manning, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528749819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28971 (South Carolina) | Primary |
| Entity Name | Mcleod Physician Associates Ii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Meek Greene Iv, CRNA 2823 Old Gilliard Rd, Holly Hill, SC 29059-9328 Ph: (803) 378-6019 | Jesse Meek Greene Iv, CRNA 10 E Hospital St, Manning, SC 29102-3153 Ph: (803) 378-6019 |
Mrs. Tracy Ganes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10 E Hospital Street, Anesthesia Department, Manning, SC 29102 Phone: 803-435-8463 | |
Dr. Alyson Eve Eastep, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10 E Hospital St, Manning, SC 29102 Phone: 803-435-8463 | |
Mr. Regis Joel Chauvot, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital St, Manning, SC 29102 Phone: 803-435-8463 Fax: 803-435-3196 | |
Mr. William Todd Cawthon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10 Hospital St, Manning, SC 29102 Phone: 803-435-8463 Fax: 803-435-3196 |