Alice Sue Green, DDS is a medicare enrolled "Dentist - General Practice" provider in Rossville, Indiana. Her current practice location is
54 W Main St, Rossville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 379-3539.
Alice Sue Green is licensed to practice in Indiana (license number 12006708) 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 1649380981.
Healthcare Provider's Profile
Full Name | Alice Sue Green |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 54 W Main St, Rossville, Indiana |
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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: 1649380981
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 9234429408
- Enrollment ID: I20160531000581
Medical Identifiers
Medical identifiers for Alice Sue Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649380981 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 12006708 (Indiana) | 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. Alice Sue 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 |
Alice Sue Green, DDS Po Box 40, Rossville, IN 46065-0040 Ph: (765) 379-3539 | Alice Sue Green, DDS 54 W Main St, Rossville, IN 46065-9459 Ph: (765) 379-3539 |
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