Mr Kenneth R Green, MD - Internal Medicine in Syracuse, NY

Mr Kenneth R Green, MD is a Internal Medicine - Nephrology physician based in Syracuse, New York. Mr Kenneth R Green is licensed to practice in New York (license number 130245) and his current practice location is 1304 Buckley Rd, Syracuse, New York. He can be reached at his office (for appointments etc.) via phone at (315) 478-3311.

NPI number for Mr Kenneth R Green is 1114909512 and his current mailing address is 1304 Buckley Road, Syracuse, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114909512.

Contact Information

Mr Kenneth R Green, MD
1304 Buckley Rd,
Syracuse, NY 13212-4302
(315) 478-3311
(315) 426-0796



Physician's Profile

Full NameMr Kenneth R Green
GenderMale
SpecialityInternal Medicine - Nephrology
Location1304 Buckley Rd, Syracuse, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114909512
  • Provider Enumeration Date: 11/19/2005
  • Last Update Date: 02/14/2008

Medical Identifiers

Medical identifiers for Mr Kenneth R Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114909512NPI-NPPES
10119425OtherNYCDPHP
000914917001OtherNYHEALTHNOW
3300208OtherNYGHI
00914917001OtherNYHEALTHNOW
100029112801OtherNYUNITED HEALTHCARE
719956OtherNYMVP
00581475MedicaidNY
03260OtherNYEXCELLUS
00040696502OtherNYUNIVERA SENIOR CHOICE
4535679OtherNYAETNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 130245 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kenneth R Green is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Kenneth R Green, MD
1304 Buckley Road,
Syracuse, NY 13212

Ph: (315) 478-3311
Mr Kenneth R Green, MD
1304 Buckley Rd,
Syracuse, NY 13212-4302

Ph: (315) 478-3311

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› Verified 3 days ago


Internal Medicine Doctors in Syracuse, NY

Courtney Myers, M.D.
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Medicare: Medicare Enrolled
Practice Location: 750 E Adams St Ste 311, Syracuse, NY 13210
Phone: 315-464-5815    
Joan Marie Mitchell, MD
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Practice Location: 736 Irving Ave, Syracuse, NY 13210
Phone: 315-425-4828    Fax: 315-425-4827
Gordana Obradovic, M.D.
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 1304 Buckley Rd, Suite 200, Syracuse, NY 13212
Phone: 315-478-3311    Fax: 315-476-5211
Kristin A Ramella, NP
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Practice Location: 90 Presidential Plz Ste 5010, Syracuse, NY 13202
Phone: 315-464-9335    
Vinodhini M Subramanian, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 736 Irving Ave, Syracuse, NY 13210
Phone: 315-470-7111    
Robert R. Michiel, MD
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Medicare: Medicare Enrolled
Practice Location: 90 Presidential Plz, 5th Floor, Syracuse, NY 13202
Phone: 315-464-9335    Fax: 315-464-9338
Michael P Gabris, MD FACC
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E Genesee St, Suite 300, Syracuse, NY 13210
Phone: 315-471-1044    Fax: 315-474-4312

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