Randy Green, is a
Case Manager/care Coordinator based in Bastrop, Louisiana. Randy Green is licensed to practice in * (Not Available) (license number ) and his current practice location is
410 S Franklin St, Bastrop, Louisiana. He can be reached at his office (for appointments etc.) via phone at
(318) 410-1062.
NPI number for Randy Green is 1053763102 and his current mailing address is 3018 Old Minden Rd Ste 1117, Bossier City, Louisiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053763102.
Healthcare Provider's Profile
Full Name | Randy Green |
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Gender | Male |
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Speciality | Case Manager/care Coordinator |
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Location | 410 S Franklin St, Bastrop, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053763102
- Provider Enumeration Date: 07/12/2016
- Last Update Date: 06/06/2018
Medical Identifiers
Medical identifiers for Randy Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053763102 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Randy 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 |
Randy Green, 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 Ph: (318) 746-1935 | Randy Green, 410 S Franklin St, Bastrop, LA 71220 Ph: (318) 410-1062 |
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