| Xander Lee Green, AA | |
|
1300 Miccosukee Rd, Tallahassee, FL 32308-5054 | |
| (850) 431-1155 | |
| Not Available |
| Full Name | Xander Lee Green |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology Assistant |
| Experience | 8 Years |
| Location | 1300 Miccosukee Rd, Tallahassee, Florida |
| 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 |
|---|---|---|---|
| 1780160424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 12153 (Georgia) | Secondary |
| 367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emory University Hospital | Atlanta, GA | Hospital |
| Emory University Hospital Midtown | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Emory Clinic Inc | 8820901408 | 3084 |
| Entity Name | The Emory Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396798229 PECOS PAC ID: 8820901408 Enrollment ID: O20031110000503 |
| Entity Name | Emory Specialty Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407864168 PECOS PAC ID: 3476559782 Enrollment ID: O20061010000447 |
| Mailing Address | Practice Location Address |
|---|---|
| Xander Lee Green, AA 914 Addie Ln, Middleburg, FL 32068-3300 Ph: (904) 415-3461 | Xander Lee Green, AA 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 Ph: (850) 431-1155 |
Mr. Joshua Kelly, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2173 Centerville Pl Ste A, Tallahassee, FL 32308 Phone: 850-385-0144 | |
Nicholas Heyse, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1300 Miccosukee Rd, Tallahassee, FL 32308 Phone: 850-431-1155 | |
Thi Le, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1894 Merchants Row Blvd Apt 2511, Tallahassee, FL 32311 Phone: 706-248-5078 | |
William Paul Dobbs, CRNA Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 2173a Centerville Pl, Tallahassee, FL 32308 Phone: 850-385-0144 | |
Ellen Fleurival Eve, Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 1623 Medical Dr, Tallahassee, FL 32308 Phone: 850-431-5250 | |
Emily Dinse, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1300 Miccosukee Rd, Tallahassee, FL 32308 Phone: 850-431-1155 | |
Aubrie Ireland, Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 1300 Miccosukee Rd, Tallahassee, FL 32308 Phone: 850-431-1155 |