Dr David A Green, MD is a medicare enrolled "Urology" physician in Glen Ridge, New Jersey. He went to Icahn School Of Medicine At Mount Sinai and graduated in 2005 and has 20 years of diverse experience with area of expertise as Urology. He is a member of the group practice New York Queens Medicine And Surgery, P.c. and his current practice location is
777 Bloomfield Ave, Glen Ridge, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(973) 429-0462.
Dr David A Green is licensed to practice in New York (license number 262278) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245503523.
Physician's Profile
Full Name | Dr David A Green |
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Gender | Male |
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Speciality | Urology |
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Experience | 20 Years |
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Location | 777 Bloomfield Ave, Glen Ridge, New Jersey |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr David A Green attended and graduated from Icahn School Of Medicine At Mount Sinai in 2005
NPI Data:
- NPI Number: 1245503523
- Provider Enumeration Date: 02/16/2012
- Last Update Date: 06/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 7618132812
- Enrollment ID: I20120712000504
Medical Identifiers
Medical identifiers for Dr David A Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245503523 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 262278 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
New York Queens Medicine And Surgery, P.c. | 4082883673 | 367 |
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 David A Green allows following entities to bill medicare on his behalf.
Entity Name | New York Queens Medicine And Surgery, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003114851 PECOS PAC ID: 4082883673 Enrollment ID: O20110817000163 |
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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 David A 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 |
Dr David A Green, MD 375 Mount Pleasant Ave, Suite 250, West Orange, NJ 07052-2750 Ph: (973) 323-1320 | Dr David A Green, MD 777 Bloomfield Ave, Glen Ridge, NJ 07028-2325 Ph: (973) 429-0462 |
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