Dr Amanda Ruth Gorden Green, DO is a medicare enrolled "Family Medicine" physician in Ochelata, Oklahoma. She went to Oklahoma State University College Of Osteopathic Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Cherokee Nation and her current practice location is
395200 W 2900 Rd, Ochelata, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 535-6000.
Dr Amanda Ruth Gorden Green is licensed to practice in Oklahoma (license number 4906) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740514306.
Physician's Profile
| Full Name | Dr Amanda Ruth Gorden Green |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 15 Years |
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| Location | 395200 W 2900 Rd, Ochelata, Oklahoma |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Amanda Ruth Gorden Green attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 2009
NPI Data:
- NPI Number: 1740514306
- Provider Enumeration Date: 09/29/2009
- Last Update Date: 05/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 8527215573
- Enrollment ID: I20190725001843
Medical Identifiers
Medical identifiers for Dr Amanda Ruth Gorden Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740514306 | NPI | - | NPPES |
| 200348650 A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 4906 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cherokee Nation | 5799698742 | 361 |
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. Dr Amanda Ruth Gorden Green allows following entities to bill medicare on her behalf.
| Entity Name | Cherokee Nation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780692723
PECOS PAC ID: 5799698742
Enrollment ID: O20031106000628 |
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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. Dr Amanda Ruth Gorden 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 |
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Dr Amanda Ruth Gorden Green, DO
395200 W 2900 Rd,
Ochelata, OK 74051-2463
Ph: (918) 535-6000 | Dr Amanda Ruth Gorden Green, DO
395200 W 2900 Rd,
Ochelata, OK 74051-2463
Ph: (918) 535-6000 |
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