Mr Adeyemi Green, LCSW in Snellville, GA - Medicare Social Worker Provider

Mr Adeyemi Green, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Snellville, Georgia. His current practice location is 1091 Trailway Cir, Snellville, Georgia. You can reach out to his office (for appointments etc.) via phone at (470) 396-9017.

Mr Adeyemi Green is licensed to practice in Georgia (license number CSW007770) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538823448.

Contact Information

	Mr Adeyemi Green, LCSW
	1091 Trailway Cir, Snellville, GA 30078-7750
	(470) 396-9017
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Adeyemi Green
Gender	Male
Speciality	Social Worker - Clinical
Location	1091 Trailway Cir, Snellville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538823448
Provider Enumeration Date: 10/26/2021
Last Update Date: 10/26/2021

Medicare PECOS Information:

PECOS PAC ID: 5092174409
Enrollment ID: I20230703001929

Medical Identifiers

Medical identifiers for Mr Adeyemi Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538823448	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW007770 (Georgia)	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. Mr Adeyemi Green allows following entities to bill medicare on his behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210225002747

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829

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 Adeyemi 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
Mr Adeyemi Green, LCSW 1091 Trailway Cir, Snellville, GA 30078-7750 Ph: (470) 396-9017	Mr Adeyemi Green, LCSW 1091 Trailway Cir, Snellville, GA 30078-7750 Ph: (470) 396-9017

Reviews and Comments

Social Worker in Snellville, GA

Mr. Douglas Dan Morsette, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4370 Telida Trl, Snellville, GA 30039 Phone: 770-885-7930 Fax: 770-885-7930
Mrs. Pamela K. Merritt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2330 Scenic Hwy S, Suite 115, Snellville, GA 30078 Phone: 770-559-9919 Fax: 770-559-9929
Keshara Denise Rosser, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2330 Scenic Hwy S Ste 565, Snellville, GA 30078 Phone: 678-243-9640
Renee Clark, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2795 Main St W Ste 20b, Snellville, GA 30078 Phone: 678-344-7836 Fax: 678-892-8575
David Shane Donaldson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2386 Clower St Ste D102, Snellville, GA 30078 Phone: 404-889-6223
Mrs. Pamela Diane Twohill, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3012 Bethany Church Rd, Snellville, GA 30039 Phone: 404-399-0993
Katrice Hollins, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 402 Grassmeade Way, Snellville, GA 30078 Phone: 301-928-7037

Mr Adeyemi Green, LCSW - Medicare Clinical Social Worker in Snellville, GA