| Rustin Dale Green, CRNA | |
|
600 Highland Ave, Madison, WI 53792-0001 | |
| (608) 263-8100 | |
| Not Available |
| Full Name | Rustin Dale Green |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 600 Highland Ave, Madison, Wisconsin |
| 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 |
|---|---|---|---|
| 1467939355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 118642 (Texas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 362798 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wakemed, Raleigh Campus | Raleigh, NC | Hospital |
| Alamance Regional Medical Center | Burlington, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Anesthesiology Of North Carolina Pllc | 2961316450 | 322 |
| East Carolina Anesthesia Associates Pllc | 5092720813 | 578 |
| Grady Memorial Hospital Corporation | 7517032998 | 311 |
| Entity Name | American Anesthesiology Of North Carolina Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053677195 PECOS PAC ID: 2961316450 Enrollment ID: O20031229000004 |
| Entity Name | Firsthealth Of The Carolinas Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053482596 PECOS PAC ID: 8820909377 Enrollment ID: O20040308000442 |
| Entity Name | East Carolina Anesthesia Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205996519 PECOS PAC ID: 5092720813 Enrollment ID: O20060215000791 |
| Entity Name | The Moses H Cone Memorial Hospital Operating Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013265909 PECOS PAC ID: 6204744600 Enrollment ID: O20121003000518 |
| Entity Name | Raleigh Sedation Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639698533 PECOS PAC ID: 1254698624 Enrollment ID: O20171121000665 |
| Entity Name | Morganton Anesthesia Partners, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346828878 PECOS PAC ID: 7416357801 Enrollment ID: O20210607000324 |
| Mailing Address | Practice Location Address |
|---|---|
| Rustin Dale Green, CRNA 7974 Uw Health Ct, Middleton, WI 53562-5531 Ph: () - | Rustin Dale Green, CRNA 600 Highland Ave, Madison, WI 53792-0001 Ph: (608) 263-8100 |
Douglas J Konkol, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 S Park St, St Marys Hospital Dean Medical Center, Madison, WI 53715 Phone: 608-258-6975 Fax: 608-258-5222 | |
Jennifer J Schildt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-8100 | |
Alyssa Ct Tesar, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 S Park St, Madison, WI 53715 Phone: 608-251-6100 | |
Rebecca Ann Konkol, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-8100 Fax: 608-263-0575 | |
Kelly K Sinutko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 S Park St, Madison, WI 53715 Phone: 608-251-6100 Fax: 608-258-5222 | |
Leila S Mclawhorn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-8100 | |
Christopher P Nelson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 S Park St, Madison, WI 53715 Phone: 608-251-6100 Fax: 608-258-5222 |