| Thomas Jefferson Green, CRNA | |
|
129 W Lake Mead Pkwy, B18, Henderson, NV 89015-7055 | |
| (702) 564-4440 | |
| (702) 558-1522 |
| Full Name | Thomas Jefferson Green |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 129 W Lake Mead Pkwy, Henderson, Nevada |
| 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 |
|---|---|---|---|
| 1467535583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA000309 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mountain West Medical Center | Tooele, UT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Desert Peak Anesthesia, Llc | 6002884996 | 7 |
| Entity Name | Desert Peak Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518972280 PECOS PAC ID: 6002884996 Enrollment ID: O20040920000002 |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas Jefferson Green, CRNA 129 W Lake Mead Pkwy, B18, Henderson, NV 89015-7055 Ph: (702) 564-4440 | Thomas Jefferson Green, CRNA 129 W Lake Mead Pkwy, B18, Henderson, NV 89015-7055 Ph: (702) 564-4440 |
Marwell Viloria, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 1050 W Galleria Dr, Henderson, NV 89011 Phone: 702-963-7000 | |
Jaime Parke, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, Suite B18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Akimi S Mcknight, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, B18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Natalie J Lewis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, #b-18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Heather Wiley Suescun, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, #b-18, Henderson, NV 89015 Phone: 702-564-4440 Fax: 702-558-1522 | |
Matthew Lee Rigby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, Suite B18, Henderson, NV 89015 Phone: 702-564-4440 | |
Mr. Michael Douglas Dixon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 129 W Lake Mead Pkwy, Suite B-18, Henderson, NV 89015 Phone: 702-564-4440 |