| Kathleen Rose Green, | |
|
601 E Rollins St, Orlando, FL 32803-1248 | |
| (407) 303-5600 | |
| Not Available |
| Full Name | Kathleen Rose Green |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 601 E Rollins St, Orlando, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225667330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN9378227 (Florida) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | APRN11007787 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Winter Haven Hospital | Winter haven, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Apollo Medical Group Of Ocala Llc | 3678922820 | 11 |
| Baycare Medical Group, Inc. | 6406753623 | 1356 |
| Anesthesia Medicine Services Of Fl Llc | 9537524343 | 139 |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Entity Name | Us Anesthesia Partners Of Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
| Entity Name | Anesthesia Medicine Services Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346947496 PECOS PAC ID: 9537524343 Enrollment ID: O20230501002203 |
| Entity Name | Apollo Medical Group Of Ocala Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477326908 PECOS PAC ID: 3678922820 Enrollment ID: O20231213000936 |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Rose Green, 1651 Palm Ave, Winter Park, FL 32789-1648 Ph: (321) 278-3446 | Kathleen Rose Green, 601 E Rollins St, Orlando, FL 32803-1248 Ph: (407) 303-5600 |
Danielle Larson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-667-0444 Fax: 407-667-4338 | |
Mary Amber Davis, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 27 Wintergreen Way, Orlando, FL 32825 Phone: 386-216-8994 | |
Darmela Shannon Thornton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-303-5600 | |
Amanda Gabriele Hermida, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 52 W Underwood St, Orlando, FL 32806 Phone: 321-841-5111 | |
Mr. Said Ricardo Acosta, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13535 Nemours Pkwy, Orlando, FL 32827 Phone: 407-567-4000 Fax: 407-650-7124 | |
William R Kogl, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 400 N Mills Ave, Orlando, FL 32803 Phone: 407-872-2244 Fax: 407-926-9173 | |
Yvonne Fulbright, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-667-0444 Fax: 407-667-4338 |