Dr Charlene M Greene, DO is a medicare enrolled "Family Medicine" physician in Florence, Wisconsin. Her current practice location is
1010 Olive Ave, Florence, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 528-4775.
Dr Charlene M Greene is licensed to practice in Wisconsin (license number 42172) 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 1568444313.
Physician's Profile
Full Name | Dr Charlene M Greene |
---|
Gender | Female |
---|
Speciality | Family Medicine |
---|
Location | 1010 Olive Ave, Florence, Wisconsin |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568444313
- Provider Enumeration Date: 11/17/2005
- Last Update Date: 05/06/2019
Medicare PECOS Information:
- PECOS PAC ID: 6406984269
- Enrollment ID: I20100514000745
Medical Identifiers
Medical identifiers for Dr Charlene M Greene such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568444313 | NPI | - | NPPES |
0852200084 | Other | MI | BCBS MI |
P00933500 | Other | MI | RR MEDICARE |
4197165 | Medicaid | MI | |
30096600 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 42172 (Wisconsin) | Primary |
207Q00000X | Family Medicine | 5101009102 (Michigan) | Secondary |
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 Charlene M Greene allows following entities to bill medicare on her behalf.
Entity Name | Dickinson County Healthcare System |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1891751186 PECOS PAC ID: 6800784943 Enrollment ID: O20040310000583 |
---|
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 Charlene M Greene 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 |
Dr Charlene M Greene, DO Po Box 549, Iron Mountain, MI 49801-0549 Ph: (906) 774-1313 | Dr Charlene M Greene, DO 1010 Olive Ave, Florence, WI 54121-0380 Ph: (715) 528-4775 |
Reviews and Comments