Portia Green, is a medicare enrolled "Social Worker - Clinical" provider in Meriden, Connecticut. Her current practice location is
130 Research Pkwy, Meriden, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 235-1654.
Portia Green is licensed to practice in Connecticut (license number 12540) 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 1801444500.
Healthcare Provider's Profile
Full Name | Portia Green |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 130 Research Pkwy, Meriden, Connecticut |
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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: 1801444500
- Provider Enumeration Date: 08/27/2019
- Last Update Date: 01/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658737515
- Enrollment ID: I20230518001750
Medical Identifiers
Medical identifiers for Portia Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801444500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 4746 (Connecticut) | Secondary |
1041C0700X | Social Worker - Clinical | 12540 (Connecticut) | 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. Portia Green allows following entities to bill medicare on her behalf.
Entity Name | Wheeler Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396750840 PECOS PAC ID: 0345147153 Enrollment ID: O20031218000218 |
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Entity Name | Rushford Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275541005 PECOS PAC ID: 1153227756 Enrollment ID: O20040223000535 |
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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. Portia 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 |
Portia Green, 80 Webster St, New Haven, CT 06511-3648 Ph: (203) 645-1036 | Portia Green, 130 Research Pkwy, Meriden, CT 06450-7152 Ph: (203) 235-1654 |
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