| Mr Adam Campo Green, CAA | |
|
1 Wyoming St, Dayton, OH 45409-2711 | |
| (937) 208-8000 | |
| Not Available |
| Full Name | Mr Adam Campo Green |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 1 Years |
| Location | 1 Wyoming St, Dayton, Ohio |
| 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 |
|---|---|---|---|
| 1548085269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | PENDING (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital St Louis | Saint louis, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Western Anesthesiology Associates Inc | 6204720667 | 188 |
| Entity Name | Western Anesthesiology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275646754 PECOS PAC ID: 6204720667 Enrollment ID: O20040226000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Adam Campo Green, CAA 339 Consort Dr, Ballwin, MO 63011-4439 Ph: (636) 386-9224 | Mr Adam Campo Green, CAA 1 Wyoming St, Dayton, OH 45409-2711 Ph: (937) 208-8000 |
Tyra Lindsey Benzinger, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming Street, Dayton, OH 45409 Phone: 937-208-6173 Fax: 937-208-3843 | |
Terrill Deondre Stevens, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-8000 | |
Avani Isabella Kumar, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-8000 | |
Richard Chan, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St Ste 3027a, Dayton, OH 45409 Phone: 937-208-6173 | |
Olivia Nicole Dunasky, CAA Anesthesiologist Assistant Medicare: May Accept Medicare Assignments Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-8000 | |
Sidney Nicole Mann, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-6173 | |
Mitchell Harshbarger, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1 Wyoming St, Dayton, OH 45409 Phone: 937-208-6173 |