Dusten Green, DSW,LCSW, CASAC is a medicare enrolled "Social Worker" provider in Fort Drum, New York. His current practice location is
11050 Mt Belvedere Blvd, Fort Drum, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 772-2778.
Dusten Green is licensed to practice in New York (license number 090580) 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 1053857318.
Healthcare Provider's Profile
Full Name | Dusten Green |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 11050 Mt Belvedere Blvd, Fort Drum, New York |
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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:
- Dusten Green attended and graduated from in
NPI Data:
- NPI Number: 1053857318
- Provider Enumeration Date: 01/11/2017
- Last Update Date: 08/29/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dusten Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053857318 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 32482 (New York) | Secondary |
1041C0700X | Social Worker - Clinical | 090580 (New York) | Secondary |
104100000X | Social Worker | 090580 (New York) | 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. Dusten 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 |
Dusten Green, DSW,LCSW, CASAC 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-2603 Ph: () - | Dusten Green, DSW,LCSW, CASAC 11050 Mt Belvedere Blvd, Fort Drum, NY 13602-2603 Ph: (315) 772-2778 |
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