Mr Lee Green Sr, is a medicare enrolled "Marriage & Family Therapist" provider in Yorktown, Virginia. His current practice location is
306 Penrith Xing, Yorktown, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 897-6835.
Mr Lee Green Sr is licensed to practice in Virginia (license number 0717001979) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548976509.
Healthcare Provider's Profile
Full Name | Mr Lee Green Sr |
---|
Gender | Male |
---|
Speciality | Marriage & Family Therapist |
---|
Location | 306 Penrith Xing, Yorktown, Virginia |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1548976509
- Provider Enumeration Date: 01/24/2023
- Last Update Date: 03/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 0941649255
- Enrollment ID: I20240419001223
Medical Identifiers
Medical identifiers for Mr Lee Green Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548976509 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 0717001979 (Virginia) | 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. Mr Lee Green Sr allows following entities to bill medicare on his behalf.
Entity Name | Assure Care Therapeutic Services Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1811686215 PECOS PAC ID: 9032558341 Enrollment ID: O20240419001102 |
---|
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. Mr Lee Green Sr 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 |
Mr Lee Green Sr, 32 Scotts Ford Ln, Fredericksburg, VA 22406-5478 Ph: (757) 897-6835 | Mr Lee Green Sr, 306 Penrith Xing, Yorktown, VA 23692-2227 Ph: (757) 897-6835 |
Reviews and Comments