Dr Douglass W Green, MD - Medicare Internal Medicine in Bristol, TN

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Dr Douglass W Green, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Bristol, Tennessee. He went to Medical College Of Georgia School Of Medicine and graduated in 1979 and has 45 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Holston Medical Group Pc and his current practice location is 1 Medical Park Blvd, Suite 450w, Bristol, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 968-3713.

Dr Douglass W Green is licensed to practice in Tennessee (license number 015559) 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 1871590166.

Contact Information

Dr Douglass W Green, MD
1 Medical Park Blvd, Suite 450w,
Bristol, TN 37620-7430
(423) 968-3713
(423) 968-7352

Map and Direction




Physician's Profile

Full NameDr Douglass W Green
GenderMale
SpecialityInternal Medicine
Experience45 Years
Location1 Medical Park Blvd, Bristol, Tennessee
Accepts Medicare AssignmentsYes. 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 Douglass W Green attended and graduated from Medical College Of Georgia School Of Medicine in 1979
  NPI Data:
  • NPI Number: 1871590166
  • Provider Enumeration Date: 07/01/2005
  • Last Update Date: 06/11/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3577504604
  • Enrollment ID: I20100604000383

Medical Identifiers

Medical identifiers for Dr Douglass W Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871590166NPI-NPPES
3037797OtherTNBC
6016502MedicaidVA
082790OtherVAANTHEM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 015559 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Holston Medical Group Pc8224935754227

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 Douglass W Green allows following entities to bill medicare on his behalf.
Entity NameHolston Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831110667
PECOS PAC ID: 8224935754
Enrollment ID: O20031216000416
Entity NameWps Providers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003904095
PECOS PAC ID: 7719079532
Enrollment ID: O20070824000581
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780986257
PECOS PAC ID: 8123291739
Enrollment ID: O20111026000909

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 Douglass W 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 AddressPractice Location Address
Dr Douglass W Green, MD
Po Box 9,
Kingsport, TN 37662-0009

Ph: (423) 857-2066		Dr Douglass W Green, MD
1 Medical Park Blvd, Suite 450w,
Bristol, TN 37620-7430

Ph: (423) 968-3713

Reviews and Comments


Internal Medicine Doctors in Bristol, TN

Dr. Nafees Ameer Mohammed, MBBS
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Practice Location: 271 Medical Park Blvd, Bristol, TN 37620
Phone: 423-844-4800    Fax: 423-230-6905
Rick Whiles, MD
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Practice Location: 240 Medical Park Blvd, Ste 3600, Bristol, TN 37620
Phone: 423-990-2414    
Dr. Jean Marie Mancini, M.D.
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Practice Location: 1 Medical Park Blvd, Ste 450w, Bristol, TN 37620
Phone: 423-968-3713    Fax: 423-986-7352
Dr. Craig S Graul, DO
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Practice Location: 104 Manchester Pl, Bristol, TN 37620
Phone: 423-573-1988    
Dr. Karl E Lawrence, M.D.
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Practice Location: 1 Medical Park Blvd, Bristol, TN 37620
Phone: 423-844-1121    
Roger J Mcsharry, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 271 Medical Park Blvd, Bristol, TN 37620
Phone: 423-968-2311    Fax: 423-968-2311
Steven Michael Tomski, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 240 Medical Park Blvd Ste 2000, Bristol, TN 37620
Phone: 423-990-5495    Fax: 423-990-2492

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.