Dr Layne Bedford Green, MD is a medicare enrolled "Dermatology" physician in Elmendorf Afb, Alaska. His current practice location is
5955 Zeamer Ave Ste 1, Elmendorf Afb, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 580-2538.
Dr Layne Bedford Green is licensed to practice in Idaho (license number M-10075) 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 1669669867.
Physician's Profile
| Full Name | Dr Layne Bedford Green |
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| Gender | Male |
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| Speciality | Dermatology |
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| Location | 5955 Zeamer Ave Ste 1, Elmendorf Afb, Alaska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1669669867
- Provider Enumeration Date: 10/02/2007
- Last Update Date: 10/17/2019
Medicare PECOS Information:
- PECOS PAC ID: 3072936491
- Enrollment ID: I20200701003225
Medical Identifiers
Medical identifiers for Dr Layne Bedford Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669669867 | NPI | - | NPPES |
| M-10075 | Other | ID | STATE LICENCE # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | M-10075 (Idaho) | Secondary |
| 207N00000X | Dermatology | M-10075 (Idaho) | Primary |
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 Layne Bedford 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 Layne Bedford Green, MD
5955 Zeamer Ave,
Anchorage, AK 99506-3702
Ph: (907) 580-2538 | Dr Layne Bedford Green, MD
5955 Zeamer Ave Ste 1,
Elmendorf Afb, AK 99506-3702
Ph: (907) 580-2538 |
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