Ms Priscilla Jo Green, RD is a
Dietitian, Registered based in Los Cerrillos, New Mexico. Ms Priscilla Jo Green is licensed to practice in New Mexico (license number LD-0653) and her current practice location is
351 Red Rock Road, Los Cerrillos, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 274-8939.
NPI number for Ms Priscilla Jo Green is 1386107308 and her current mailing address is Hc 63 Box 30, Pena Blanca, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386107308.
Healthcare Provider's Profile
Full Name | Ms Priscilla Jo Green |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 351 Red Rock Road, Los Cerrillos, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386107308
- Provider Enumeration Date: 04/08/2019
- Last Update Date: 06/11/2019
Medical Identifiers
Medical identifiers for Ms Priscilla Jo Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386107308 | NPI | - | NPPES |
LD-0653 | Other | NM | SELF PAY |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | LD-0653 (New Mexico) | 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. Ms Priscilla Jo Green 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 |
Ms Priscilla Jo Green, RD Hc 63 Box 30, Pena Blanca, NM 87041-9701 Ph: (505) 274-8939 | Ms Priscilla Jo Green, RD 351 Red Rock Road, Los Cerrillos, NM 87010 Ph: (505) 274-8939 |
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