Katie Lynn Green, LMSW in Ada, MI - Medicare Social Worker Provider

Katie Lynn Green, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Ada, Michigan. Her current practice location is 7128 Fulton St E, Ada, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 825-3530.

Katie Lynn Green is licensed to practice in Michigan (license number 6801112387) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306509013.

Contact Information

	Katie Lynn Green, LMSW
	7128 Fulton St E, Ada, MI 49301-8413
	(616) 825-3530
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katie Lynn Green
Gender	Female
Speciality	Social Worker - Clinical
Location	7128 Fulton St E, Ada, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306509013
Provider Enumeration Date: 10/19/2021
Last Update Date: 07/31/2023

Medicare PECOS Information:

PECOS PAC ID: 5193113595
Enrollment ID: I20211103001748

Medical Identifiers

Medical identifiers for Katie Lynn Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306509013	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801112387 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katie Lynn Green allows following entities to bill medicare on her behalf.

Entity Name	Spectrum Health Primary Care Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091

Entity Name	Counseling Center Of West Michigan Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437610730 PECOS PAC ID: 9234469255 Enrollment ID: O20190918000332

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. Katie Lynn Green is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Katie Lynn Green, LMSW 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () -	Katie Lynn Green, LMSW 7128 Fulton St E, Ada, MI 49301-8413 Ph: (616) 825-3530

Reviews and Comments

Social Worker in Ada, MI

Alexa Marie Bates, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9318 Clear Meadow Dr Se, Ada, MI 49301 Phone: 616-826-7938
Hannah Vanhoorne, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4690 Fulton St E Ste 102, Ada, MI 49301 Phone: 810-225-3417
April L Kaiserlian, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 983 Spaulding Ave Ne, Ada, MI 49503 Phone: 616-826-1574
Ann Elizabeth Tarr, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7128 Fulton St E, Ada, MI 49301 Phone: 616-825-3530
Mrs. Jennifer Jane Reintjes, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 Hartfield Dr Se, Ada, MI 49301 Phone: 616-975-9950
Sierra Bates, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4690 Fulton St E Ste 102, Ada, MI 49301 Phone: 616-425-7701
Mrs. Mary Kathryn Bennett, M.A., L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 983 Spaulding Ave. S.e., Ada, MI 49301 Phone: 616-942-9000 Fax: 616-942-0008

Katie Lynn Green, LMSW - Medicare Clinical Social Worker in Ada, MI