Ms Kimberly M Green, CSC-AD, RAC is a
Community/behavioral Health based in Riverdale, Maryland. Ms Kimberly M Green is licensed to practice in Maryland (license number 210310714) and her current practice location is
4404 Queensbury Rd Ste 105, Riverdale, Maryland. She can be reached at her office (for appointments etc.) via phone at
(301) 864-0919.
NPI number for Ms Kimberly M Green is 1164601787 and her current mailing address is 4404 Queensbury Rd Ste 105, Riverdale, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164601787.
Healthcare Provider's Profile
Full Name | Ms Kimberly M Green |
---|
Gender | Female |
---|
Speciality | Community/behavioral Health |
---|
Location | 4404 Queensbury Rd Ste 105, Riverdale, Maryland |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1164601787
- Provider Enumeration Date: 10/31/2007
- Last Update Date: 08/25/2021
Medical Identifiers
Medical identifiers for Ms Kimberly M Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164601787 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | ADD14102 (District Of Columbia) | Secondary |
251S00000X | Community/behavioral Health | 210310714 (Maryland) | 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. Ms Kimberly M 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 |
Ms Kimberly M Green, CSC-AD, RAC 4404 Queensbury Rd Ste 105, Riverdale, MD 20737-1074 Ph: (301) 864-0919 | Ms Kimberly M Green, CSC-AD, RAC 4404 Queensbury Rd Ste 105, Riverdale, MD 20737-1074 Ph: (301) 864-0919 |
Reviews and Comments