Dr Susan Mary Green, M D MPH is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Middletown, Rhode Island. Her current practice location is
333 Valley Rd, Middletown, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 619-1540.
Dr Susan Mary Green is licensed to practice in Rhode Island (license number 6309) 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 1023147667.
Physician's Profile
| Full Name | Dr Susan Mary Green |
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| Gender | Female |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 333 Valley Rd, Middletown, Rhode Island |
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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: 1023147667
- Provider Enumeration Date: 03/02/2007
- Last Update Date: 05/10/2011
Medicare PECOS Information:
- PECOS PAC ID: 8022315969
- Enrollment ID: I20170530002117
Medical Identifiers
Medical identifiers for Dr Susan Mary Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023147667 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 6309 (Rhode Island) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 6309 (Rhode Island) | 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 Susan Mary 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 Susan Mary Green, M D MPH
333 Valley Rd,
Middletown, RI 02842-7230
Ph: (401) 619-1540 | Dr Susan Mary Green, M D MPH
333 Valley Rd,
Middletown, RI 02842-7230
Ph: (401) 619-1540 |
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