Alysia L Green, MD - Medicare Family Medicine in Evanston, IL

  1. Home
  2. Family Medicine
  3. IL
  4. Evanston
Alysia L Green, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Evanston, Illinois. Her current practice location is 633 Emerson St, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 491-8100.

Alysia L Green is licensed to practice in Illinois (license number 036171538) 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 1013124296.

Contact Information

Alysia L Green, MD
633 Emerson St,
Evanston, IL 60208-1394
(847) 491-8100
(847) 491-5919

Map and Direction




Physician's Profile

Full NameAlysia L Green
GenderFemale
SpecialityFamily Medicine - Sports Medicine
Location633 Emerson St, Evanston, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013124296
  • Provider Enumeration Date: 05/17/2007
  • Last Update Date: 09/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6305938317
  • Enrollment ID: I20070822001047

Medical Identifiers

Medical identifiers for Alysia L Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013124296NPI-NPPES
110076162AMedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine 232853 (Massachusetts)Secondary
207QS0010XFamily Medicine - Sports Medicine 036171538 (Illinois)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. Alysia L Green allows following entities to bill medicare on her behalf.
Entity NameDothouse Health Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578514733
PECOS PAC ID: 8729991021
Enrollment ID: O20031112000264
Entity NameSouth Boston Community Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669447413
PECOS PAC ID: 2062487291
Enrollment ID: O20040831000673

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. Alysia L 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 AddressPractice Location Address
Alysia L Green, MD
801 Albany St, Fl G,
Boston, MA 02119-3791

Ph: (617) 414-6034		Alysia L Green, MD
633 Emerson St,
Evanston, IL 60208-1394

Ph: (847) 491-8100

Reviews and Comments


Family Medicine Doctors in Evanston, IL

Isra Hasnain,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201
Phone: 847-666-3494    
Stephanie Janae Van Buren, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1285 Hartrey Ave, Evanston, IL 60202
Phone: 847-666-3494    
Dr. Elizabeth Feldman, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1285 Hartrey Ave, Evanston, IL 60202
Phone: 312-666-3494    
Ann Tran, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2650 Ridge Ave, Evanston, IL 60201
Phone: 847-570-1010    Fax: 847-733-5108
Jennifer Callegari Hill, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201
Phone: 847-657-1840    
Angelika Joanna Kwak,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2650 Ridge Ave Ste 1304, Evanston, IL 60201
Phone: 773-834-9852    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.