Charles Jacob Green Iii, is a
Case Manager/care Coordinator based in Toledo, Ohio. Charles Jacob Green Iii is licensed to practice in * (Not Available) (license number ) and his current practice location is
2005 Ashland Ave, Toledo, Ohio. He can be reached at his office (for appointments etc.) via phone at
(419) 841-7701.
NPI number for Charles Jacob Green Iii is 1285110460 and his current mailing address is 2005 Ashland Ave, Toledo, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285110460.
Healthcare Provider's Profile
| Full Name | Charles Jacob Green Iii |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 2005 Ashland Ave, Toledo, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1285110460
- Provider Enumeration Date: 07/11/2018
- Last Update Date: 09/23/2024
Medical Identifiers
Medical identifiers for Charles Jacob Green Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285110460 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | S.2403902-TRNE (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Charles Jacob Green Iii 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 Address | Practice Location Address |
|---|
Charles Jacob Green Iii,
2005 Ashland Ave,
Toledo, OH 43620-1703
Ph: (419) 841-7701 | Charles Jacob Green Iii,
2005 Ashland Ave,
Toledo, OH 43620-1703
Ph: (419) 841-7701 |
Reviews and Comments