Debra J Green, MD in Newark, NJ - Medicare Radiology

Debra J Green, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Newark, New Jersey. Her current practice location is 30 Bergen St, Admc 12 1205, Newark, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 972-0037.

Debra J Green is licensed to practice in New Jersey (license number 25MA05276300) 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 1194836890.

Contact Information

	Debra J Green, MD
	30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000
	(973) 972-0037
	(973) 972-9355

Map and Direction

Physician's Profile

Full Name	Debra J Green
Gender	Female
Speciality	Radiology - Diagnostic Radiology
Location	30 Bergen St, Newark, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194836890
Provider Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3577592567
Enrollment ID: I20091015000283

Medical Identifiers

Medical identifiers for Debra J Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194836890	NPI	-	NPPES
5213703	Medicaid	NJ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	25MA05276300 (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. Debra J Green allows following entities to bill medicare on her behalf.

Entity Name	Montefiore Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235

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. Debra J 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
Debra J Green, MD 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 Ph: (973) 972-0037	Debra J Green, MD 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 Ph: (973) 972-0037

Reviews and Comments

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Debra J Green, MD - Medicare Radiology in Newark, NJ