Mr Jacques Dewayne Green, LMSW in Grand Rapids, MI - Medicare Clinical Social Worker Provider

Mr Jacques Dewayne Green, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Grand Rapids, Michigan. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Counseling Center Of West Michigan Llc and his current practice location is 359 Division Ave S, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 685-3800.

Mr Jacques Dewayne Green is licensed to practice in Michigan (license number 6801089203) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1841482791.

Contact Information

	Mr Jacques Dewayne Green, LMSW
	359 Division Ave S, Grand Rapids, MI 49503-4537
	(616) 685-3800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jacques Dewayne Green
Gender	Male
Speciality	Clinical Social Worker
Experience	17 Years
Location	359 Division Ave S, Grand Rapids, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jacques Dewayne Green graduated from medical school in 2007

NPI Data:

NPI Number: 1841482791
Provider Enumeration Date: 08/15/2007
Last Update Date: 05/03/2017

Medicare PECOS Information:

PECOS PAC ID: 1850616020
Enrollment ID: I20150210001341

Medical Identifiers

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

Identifier	Type	State	Issuer
1841482791	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801089203 (Michigan)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	C-03173 (Michigan)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Counseling Center Of West Michigan Llc	9234469255	99

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 Jacques Dewayne Green allows following entities to bill medicare on his behalf.

Entity Name	Advantage Health/saint Mary's Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279

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. Mr Jacques Dewayne 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 Jacques Dewayne Green, LMSW 129 Dogwood Dr Ne, Rockford, MI 49341-7396 Ph: () -	Mr Jacques Dewayne Green, LMSW 359 Division Ave S, Grand Rapids, MI 49503-4537 Ph: (616) 685-3800

Reviews and Comments

Social Worker in Grand Rapids, MI

Jillian Leigh Murray, L.C.S.W Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-455-5000
Mrs. Sarah Lynn Bylsma, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1471 Grace St Se, Grand Rapids, MI 49506 Phone: 616-913-2006 Fax: 616-913-2005
Ashleigh Smith, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3351 Claystone St Se Ste G32, Grand Rapids, MI 49546 Phone: 510-495-0756
Diana Duarte-menendez, MSW 6851109554 Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 790 Fuller Ave Ne, Grand Rapids, MI 49503 Phone: 616-336-3909
Mrs. Rebecca Joy Back, LMSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 269-929-7342
Ms. Joanne Martha Reen, MSW, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1939 S Division Ave, Family Outreach Center, Grand Rapids, MI 49507 Phone: 616-247-3815 Fax: 616-245-0450
Lenin Thomas, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 790 Fuller Ne, Grand Rapids, MI 49503 Phone: 616-304-7768

Mr Jacques Dewayne Green, LMSW - Medicare Clinical Social Worker in Grand Rapids, MI