Dr Kenneth O Green, MD, in Belleville, IL

Dr Kenneth O Green, MD, is a medicare enrolled "Ophthalmology" physician in Belleville, Illinois. His current practice location is 111 W Lincoln St, Belleville, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 234-1774.

Dr Kenneth O Green is licensed to practice in Illinois (license number 036037266) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780680900.

Contact Information

	Dr Kenneth O Green, MD,
	111 W Lincoln St, Belleville, IL 62220-2019
	(618) 234-1774
	(618) 234-7979

Map and Direction

Physician's Profile

Full Name	Dr Kenneth O Green
Gender	Male
Speciality	Ophthalmology
Location	111 W Lincoln St, Belleville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780680900
Provider Enumeration Date: 06/22/2005
Last Update Date: 04/13/2009

Medicare PECOS Information:

PECOS PAC ID: 7113993858
Enrollment ID: I20121026000161

Medical Identifiers

Medical identifiers for Dr Kenneth O Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780680900	NPI	-	NPPES
1376586685	Other	IL	NPI GROUP
036037266	Medicaid	IL
211586	Other	IL	MEDICARE GROUP
CH6508	Other	IL	MEDICARE RAILROAD GROUP
P00216102	Other	IL	MEDICARE RAILROAD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	036037266 (Illinois)	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. Dr Kenneth O Green allows following entities to bill medicare on his behalf.

Entity Name	Ssm Health Care St Louis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393

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 Kenneth O 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 Kenneth O Green, MD, 111 W Lincoln St, Belleville, IL 62220-2019 Ph: (618) 234-1774	Dr Kenneth O Green, MD, 111 W Lincoln St, Belleville, IL 62220-2019 Ph: (618) 234-1774

Reviews and Comments

Ophthalmology Doctors in Belleville, IL

Paul Stanley Szewczyk, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 4900 W Main St, Belleville, IL 62226 Phone: 618-235-2400 Fax: 618-235-0900
Dr. Donald Richard Unwin, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 111 W Lincoln St, Belleville, IL 62220 Phone: 618-234-1774 Fax: 618-234-7979
Dr. Eric S Mann, MD, PHD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4550 Memorial Dr Ste 350, Belleville, IL 62226 Phone: 618-632-8100 Fax: 618-632-8101

Dr Kenneth O Green, MD, - Medicare Ophthalmology in Belleville, IL