Mr Robert Adam Green, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Westfield, Indiana. He graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Shadeland Anesthesia And Pain Associates Inc and his current practice location is
879 Northwich Ave, Westfield, Indiana. You can reach out to his office (for appointments etc.) via phone at
(870) 926-5519.
Mr Robert Adam Green is licensed to practice in Indiana (license number 28221931A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952745499.
Provider's Profile
| Full Name | Mr Robert Adam Green |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 13 Years |
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| Location | 879 Northwich Ave, Westfield, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Robert Adam Green graduated from nursing school in 2013
NPI Data:
- NPI Number: 1952745499
- Provider Enumeration Date: 04/27/2013
- Last Update Date: 10/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 1456593680
- Enrollment ID: I20150730012940
Medical Identifiers
Medical identifiers for Mr Robert Adam Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1952745499 | NPI | - | NPPES |
| 201302760 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | R079312 (Arkansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 2013012833 (Missouri) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 28221931A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Shadeland Anesthesia And Pain Associates Inc | 2769468990 | 39 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Robert Adam Green allows following entities to bill medicare on his behalf.
| Entity Name | Shadeland Anesthesia & Pain Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477589000 PECOS PAC ID: 2769468990 Enrollment ID: O20040628000781 |
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| Entity Name | Adams County Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689696148 PECOS PAC ID: 0941198253 Enrollment ID: O20041001000326 |
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| Entity Name | Surgery One Anesthesia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144724402 PECOS PAC ID: 8820351463 Enrollment ID: O20180413001005 |
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| Entity Name | Jebs Anesthesia Consultants, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790447761 PECOS PAC ID: 4486046646 Enrollment ID: O20220120000233 |
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| Entity Name | Aas Indiana Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831827021 PECOS PAC ID: 4688045115 Enrollment ID: O20230120001025 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Robert Adam Green is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Robert Adam Green, 879 Northwich Ave, Westfield, IN 46074-3344 Ph: (870) 926-5519 | Mr Robert Adam Green, 879 Northwich Ave, Westfield, IN 46074-3344 Ph: (870) 926-5519 |
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