Ayodele Green, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Mountain Lakes, New Jersey. Her current practice location is
115 Route 46 W Bldg F, Mountain Lakes, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(973) 722-0483.
Ayodele Green is licensed to practice in New Jersey (license number 25MA10430000) 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 1598922866.
Physician's Profile
Full Name | Ayodele Green |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
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Location | 115 Route 46 W Bldg F, Mountain Lakes, New Jersey |
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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: 1598922866
- Provider Enumeration Date: 05/22/2008
- Last Update Date: 10/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 2365517471
- Enrollment ID: I20080823000023
Medical Identifiers
Medical identifiers for Ayodele Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598922866 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | 25MA10430000 (New Jersey) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 237047 (New York) | Secondary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 25MA10430000 (New Jersey) | 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. Ayodele Green allows following entities to bill medicare on her behalf.
Entity Name | St Joseph's Hospital Yonkers |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1356316921 PECOS PAC ID: 0547156176 Enrollment ID: O20040223000340 |
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Entity Name | William F Ryan Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851328199 PECOS PAC ID: 4880596550 Enrollment ID: O20041023000026 |
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Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221117000517 |
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Entity Name | Greenhouse For Mental Health Development P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629856299 PECOS PAC ID: 4981051596 Enrollment ID: O20231103000256 |
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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. Ayodele 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 |
Ayodele Green, MD Po Box 282, Mountain Lakes, NJ 07046-0282 Ph: () - | Ayodele Green, MD 115 Route 46 W Bldg F, Mountain Lakes, NJ 07046-1668 Ph: (973) 722-0483 |
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