Johan Green, LADC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Williamstown, Vermont. His current practice location is
1135 Falls Bridge Rd, Williamstown, Vermont. You can reach out to his office (for appointments etc.) via phone at
(603) 593-2444.
Johan Green is licensed to practice in Massachusetts (license number 18658) 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 1619335916.
Healthcare Provider's Profile
Full Name | Johan Green |
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Gender | Male |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 1135 Falls Bridge Rd, Williamstown, Vermont |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619335916
- Provider Enumeration Date: 02/02/2016
- Last Update Date: 08/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 6800334343
- Enrollment ID: I20240815002623
Medical Identifiers
Medical identifiers for Johan Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619335916 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 18658 (Massachusetts) | 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. Johan Green allows following entities to bill medicare on his behalf.
Entity Name | Belonging Medical Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912482787 PECOS PAC ID: 8022443878 Enrollment ID: O20220103000362 |
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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. Johan 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 |
Johan Green, LADC 1135 Falls Bridge Rd, Williamstown, VT 05679-4438 Ph: (603) 593-2444 | Johan Green, LADC 1135 Falls Bridge Rd, Williamstown, VT 05679-4438 Ph: (603) 593-2444 |
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