| John P Green, PA | |
|
200 N Park St, Kalamazoo, MI 49007-3731 | |
| (269) 373-7468 | |
| (269) 373-0123 |
| Full Name | John P Green |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 19 Years |
| Location | 200 N Park St, Kalamazoo, Michigan |
| 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 |
|---|---|---|---|
| 1346421609 | NPI | - | NPPES |
| 0C91143 | Other | MI | BCBSM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 5601005131 (Michigan) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pic Indiana Pc | 3476790239 | 143 |
| Entity Name | Ascension Borgess Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568416311 PECOS PAC ID: 5294645750 Enrollment ID: O20040209000029 |
| Entity Name | Ella E M Brown Charitable Circle |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366591794 PECOS PAC ID: 1254228745 Enrollment ID: O20040616001008 |
| Entity Name | Hometown Urgent Care of Michigan PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790030385 PECOS PAC ID: 8123270840 Enrollment ID: O20121204000095 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
| Entity Name | Pic Indiana PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942546890 PECOS PAC ID: 3476790239 Enrollment ID: O20250228001187 |
| Mailing Address | Practice Location Address |
|---|---|
| John P Green, PA 601 John St, Box 42, Kalamazoo, MI 49007-5341 Ph: (269) 341-7806 | John P Green, PA 200 N Park St, Kalamazoo, MI 49007-3731 Ph: (269) 373-7468 |
Justine Melodie Oudsema, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 601 John St, Box 74, Kalamazoo, MI 49007 Phone: 269-341-8481 Fax: 269-341-7781 |
Madison Lynn Van Winkle, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6210 W Main St, Kalamazoo, MI 49009 Phone: 269-286-7030 Fax: 269-286-7031 |
Mr. Martin Joseph Clinard, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 501 S Drake Rd, Kalamazoo, MI 49009 Phone: 269-343-1296 Fax: 269-344-8485 |
Collier S Wiese, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1541 Gull Rd, Suite 200, Kalamazoo, MI 49048 Phone: 269-343-1264 Fax: 269-343-9555 |
Mrs. Leah Wiser, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1903 W Michigan Ave, Sindecuse Health Center, Western Michigan University, Kalamazoo, MI 49008 Phone: 269-387-3287 Fax: 269-387-2944 |
Nicholas S Lapenna, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6220 W Main St, Kalamazoo, MI 49009 Phone: 269-276-4744 Fax: 269-353-5856 |
Rebecca Mary Cronin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1521 Gull Rd, Kalamazoo, MI 49048 Phone: 269-226-7000 |