| Shane T Green, RN, SRNA | |
|
500 University Dr, Hershey, PA 17033-2360 | |
| (717) 531-6597 | |
| Not Available |
| Full Name | Shane T Green |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 500 University Dr, Hershey, Pennsylvania |
| 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 |
|---|---|---|---|
| 1427629120 | NPI | - | NPPES |
| RN706314 | Other | PA | PA RN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN706314 (Pennsylvania) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | RN706314 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Milton S Hershey Medical Center | Hershey, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Milton S Hershey Medical Center Physicians Group | 3870405483 | 1457 |
| Entity Name | The Milton S Hershey Medical Center Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710951744 PECOS PAC ID: 3870405483 Enrollment ID: O20040225000741 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane T Green, RN, SRNA 201 State St, Erie, PA 16550-0001 Ph: () - | Shane T Green, RN, SRNA 500 University Dr, Hershey, PA 17033-2360 Ph: (717) 531-6597 |
Ntiege Ngwane, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 | |
Amanda Ford, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, One Children's Hospital Drive, Hershey, PA 17033 Phone: 717-531-6597 | |
Khislat Azizov, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 163 Laurel Dr, Hershey, PA 17033 Phone: 917-755-1893 | |
Nathan Ryan Tomlinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-6597 Fax: 717-531-7790 | |
Zachary A Munch, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 Fax: 717-531-7790 | |
Jesse A Studer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 717-531-6886 Fax: 717-531-3708 | |
Mrs. Emily Racilla, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 500 University Dr, Hershey, PA 17033 Phone: 800-243-1455 |