Mrs Adrian Green, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Charlotte, North Carolina. Her current practice location is
9428 John Russell Rd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 281-8803.
Mrs Adrian Green is licensed to practice in North Carolina (license number C009299) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811495120.
Healthcare Provider's Profile
Full Name | Mrs Adrian Green |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 9428 John Russell Rd, Charlotte, North Carolina |
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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: 1811495120
- Provider Enumeration Date: 02/01/2018
- Last Update Date: 02/06/2018
Medicare PECOS Information:
- PECOS PAC ID: 4082011820
- Enrollment ID: I20210923000794
Medical Identifiers
Medical identifiers for Mrs Adrian Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811495120 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | C009299 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | C009299 (North Carolina) | 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. Mrs Adrian Green allows following entities to bill medicare on her behalf.
Entity Name | Innovation Counseling Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457993123 PECOS PAC ID: 9830515535 Enrollment ID: O20200812001224 |
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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. Mrs Adrian 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 |
Mrs Adrian Green, MSW, LCSW 9428 John Russell Rd, Charlotte, NC 28215-7598 Ph: () - | Mrs Adrian Green, MSW, LCSW 9428 John Russell Rd, Charlotte, NC 28215-7598 Ph: (704) 281-8803 |
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