Dr Stacy Robin Green, MD is a
General Practice based in Boulder, Colorado. Dr Stacy Robin Green is licensed to practice in Colorado (license number 50364) and her current practice location is
3985 Wonderland Hill Ave Ste 107, Boulder, Colorado. She can be reached at her office (for appointments etc.) via phone at
(303) 717-2521.
NPI number for Dr Stacy Robin Green is 1558686162 and her current mailing address is 3985 Wonderland Hill Ave Ste 107, Boulder, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558686162.
Healthcare Provider's Profile
Full Name | Dr Stacy Robin Green |
---|
Gender | Female |
---|
Speciality | General Practice |
---|
Location | 3985 Wonderland Hill Ave Ste 107, Boulder, Colorado |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558686162
- Provider Enumeration Date: 04/07/2010
- Last Update Date: 01/27/2021
Medical Identifiers
Medical identifiers for Dr Stacy Robin Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558686162 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
208D00000X | General Practice | 50364 (Colorado) | 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. Dr Stacy Robin 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 Address | Practice Location Address |
Dr Stacy Robin Green, MD 3985 Wonderland Hill Ave Ste 107, Boulder, CO 80304-1038 Ph: (303) 717-2521 | Dr Stacy Robin Green, MD 3985 Wonderland Hill Ave Ste 107, Boulder, CO 80304-1038 Ph: (303) 717-2521 |
Reviews and Comments