Kenneth E Green (NPI# 1083623367, PAC ID# 9032191432) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1083623367 |
PAC ID by PECOS | 9032191432 |
Professional Enrollment ID | I20040601000860 |
Full Name | Kenneth E Green |
Address |
908 Wallace Ave Suite 104 Leitchfield KY 42754-1479 |
Phone Number | 2702595681 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
Graduation Year | 1982 |
Primary Specialty | FAMILY PRACTICE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
180070 | TWIN LAKES REGIONAL MEDICAL CENTER |
180012 | HARDIN MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
908 Wallace Ave, Suite 104, Leitchfield, KY 42754-1479 | 2702595681 |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
MIPS_EC_047_overall | Care Plan | 3% | |
MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 53% | |
MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 97% | |
MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 0% |
Street Address |
908 WALLACE AVE SUITE 104 |
City | LEITCHFIELD |
State | KY |
Zip | 42754-1479 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tarek Z El-masri | Pediatric Medicine | Leitchfield Pediatric Clinic P.s.c. | 908 Wallace Ave, Suite 108, Leitchfield, KY 42754-1479 |
Joseph M Lee | Pediatric Medicine | Leitchfield Pediatric Clinic P.s.c. | 908 Wallace Ave, Suite 108, Leitchfield, KY 42754-1479 |
Ashley Nicole Flener | Nurse Practitioner | Twin Lakes Medical Foundation Inc | 908 Wallace Ave, Leitchfield, KY 42754-1479 |
Mark J Lee | Obstetrics/gynecology | Twin Lakes Medical Foundation Inc | 908 Wallace Ave, Leitchfield, KY 42754-1479 |
Jennifer Nicole Hughes | Nurse Practitioner | Twin Lakes Medical Foundation Inc | 908 Wallace Ave, Leitchfield, KY 42754-1479 |
Jennifer A Camas | Internal Medicine | Twin Lakes Medical Foundation Inc | 908 Wallace Ave, Leitchfield, KY 42754-1479 |
Victor Ramones Angeles | Neurology | Twin Lakes Medical Foundation Inc | 908 Wallace Ave, Leitchfield, KY 42754-1479 |
Anthony K Smith | Pediatric Medicine | Leitchfield Pediatric Clinic P.s.c. | 908 Wallace Ave, Suite 108, Leitchfield, KY 42754-1479 |
John E Evans | Pediatric Medicine | Leitchfield Pediatric Clinic P.s.c. | 908 Wallace Ave, Suite 108, Leitchfield, KY 42754-1479 |
Larry T Mcclure | Family Practice | 908 Wallace Ave, Leitchfield, KY 42754-1479 | |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Erica Patton Simpson | Clinical Social Worker | Associates In Counseling | 48 Public Sq, Leitchfield, KY 42754-1105 |
Michael L Walker | Chiropractic | Walker Chiropractic Inc | 113 W Main St, Leitchfield, KY 42754-1149 |
Jeffrey N Been | Orthopedic Surgery | Pt Pros Inc | 201 S Main St, Leitchfield, KY 42754-1425 |
Spencer D Fuehne | Physical Therapy | Pt Pros Inc | 201 S Main St, Leitchfield, KY 42754-1425 |
Isaac Miller | Sports Medicine | Pt Pros Inc | 201 S Main St, Leitchfield, KY 42754-1425 |
Craig A Johnson | Internal Medicine | Pt Pros Inc | 201 S Main St, Leitchfield, KY 42754-1425 |
Ted Benjamin Rogers | Orthopedic Surgery | Pt Pros Inc | 201 S Main St, Leitchfield, KY 42754-1425 |
Bryce A. Meredith | Family Medicine | Pt Pros Inc | 201 S Main St, Leitchfield, KY 42754-1425 |
Rita A Logsdon | Nurse Practitioner | Pt Pros Inc | 201 S Main St, Leitchfield, KY 42754-1425 |
Cari Beth Johnson | Nurse Practitioner | Pt Pros Inc | 201 S Main St, Leitchfield, KY 42754-1425 |
Find all physicians in zip 42754 |
City | LEITCHFIELD |
Zip Code | 42754 |
Specialty | FAMILY PRACTICE |
City + Specialty | LEITCHFIELD + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Kenneth E Green.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.