Dr Manieka Lynelle Green, DDS is a medicare enrolled "Dentist" provider in Kearneysville, West Virginia. Her current practice location is
116 Big Spring Dr, Kearneysville, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 685-2935.
Dr Manieka Lynelle Green is licensed to practice in West Virginia (license number 4026) 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 1861837775.
Healthcare Provider's Profile
Full Name | Dr Manieka Lynelle Green |
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Gender | Female |
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Speciality | Dentist |
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Location | 116 Big Spring Dr, Kearneysville, West Virginia |
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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: 1861837775
- Provider Enumeration Date: 05/06/2013
- Last Update Date: 05/06/2013
Medicare PECOS Information:
- PECOS PAC ID: 0042531535
- Enrollment ID: I20150609002447
Medical Identifiers
Medical identifiers for Dr Manieka Lynelle Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861837775 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 4026 (West Virginia) | 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. Dr Manieka Lynelle 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 |
Dr Manieka Lynelle Green, DDS 116 Big Spring Dr, Kearneysville, WV 25430-5728 Ph: (304) 685-2935 | Dr Manieka Lynelle Green, DDS 116 Big Spring Dr, Kearneysville, WV 25430-5728 Ph: (304) 685-2935 |
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