Timothy Bruce Greene, is a
Peer Specialist based in Los Angeles, California. Timothy Bruce Greene is licensed to practice in * (Not Available) (license number ) and his current practice location is
8836 S Vermont Ave, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(323) 751-3026.
NPI number for Timothy Bruce Greene is 1811561814 and his current mailing address is 425 S Broadway, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811561814.
Healthcare Provider's Profile
| Full Name | Timothy Bruce Greene |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 8836 S Vermont Ave, Los Angeles, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1811561814
- Provider Enumeration Date: 05/14/2021
- Last Update Date: 05/13/2022
Medical Identifiers
Medical identifiers for Timothy Bruce Greene such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811561814 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (Washington) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (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. Timothy Bruce Greene 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 |
|---|
Timothy Bruce Greene,
425 S Broadway,
Los Angeles, CA 90013-1102
Ph: (213) 213-0100 | Timothy Bruce Greene,
8836 S Vermont Ave,
Los Angeles, CA 90044-4832
Ph: (323) 751-3026 |
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