Jeffrey Green, is a medicare enrolled "Dentist - General Practice" provider in Merrill, Michigan. His current practice location is
149 N Midland St, Merrill, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 643-7856.
Jeffrey Green is licensed to practice in Michigan (license number 2901013748) 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 1649480245.
Healthcare Provider's Profile
Full Name | Jeffrey Green |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 149 N Midland St, Merrill, Michigan |
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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: 1649480245
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6002136967
- Enrollment ID: I20150518001787
Medical Identifiers
Medical identifiers for Jeffrey Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649480245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 2901013748 (Michigan) | 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. Jeffrey 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 |
Jeffrey Green, 149 N Midland St, Merrill, MI 48637 Ph: (989) 643-7856 | Jeffrey Green, 149 N Midland St, Merrill, MI 48637 Ph: (989) 643-7856 |
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