Edward Green, MD in Jackson, MS - Medicare Nuclear Medicine

Edward Green, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Jackson, Mississippi. He went to University Of Arkansas College Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Nuclear Medicine. He is a member of the group practice Lakeland Radiologists Pa and his current practice location is 969 Lakeland Dr, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 200-6162.

Edward Green is licensed to practice in Mississippi (license number 17833) 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 1073719803.

Contact Information

	Edward Green, MD
	969 Lakeland Dr, Jackson, MS 39216-4606
	(601) 200-6162
	Not Available

Map and Direction

Physician's Profile

Full Name	Edward Green
Gender	Male
Speciality	Nuclear Medicine
Experience	23 Years
Location	969 Lakeland Dr, Jackson, Mississippi
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:

Edward Green attended and graduated from University Of Arkansas College Of Medicine in 2001

NPI Data:

NPI Number: 1073719803
Provider Enumeration Date: 06/27/2007
Last Update Date: 10/06/2022

Medicare PECOS Information:

PECOS PAC ID: 0648345223
Enrollment ID: I20080826000630

Medical Identifiers

Medical identifiers for Edward Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073719803	NPI	-	NPPES
512I360002	Other	MS	PTAN
179024	Medicaid	AL
P01195515	Other	MS	RAILROAD MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	135313 (North Carolina)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	17833 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Dominic-jackson Memorial Hospital	Jackson, MS	Hospital
Southwest Ms Regional Medical Center	Mccomb, MS	Hospital
Merit Health River Region	Vicksburg, MS	Hospital
Merit Health River Oaks	Flowood, MS	Hospital
Greenwood Leflore Hospital	Greenwood, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lakeland Radiologists Pa	4183683089	30

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. Edward Green allows following entities to bill medicare on his behalf.

Entity Name	Lakeland Radiologists Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861428351 PECOS PAC ID: 4183683089 Enrollment ID: O20041006001125

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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. Edward 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
Edward Green, MD Po Box 23073, Jackson, MS 39225-3073 Ph: (601) 200-6162	Edward Green, MD 969 Lakeland Dr, Jackson, MS 39216-4606 Ph: (601) 200-6162

Reviews and Comments

Radiology Doctors in Jackson, MS

Dr. Christophor D Reed, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-5615
Dr. Patrick James Robbins, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5600 Fax: 601-984-5608
Dr. Richard B Friedman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-968-1416 Fax: 601-968-1218
Teddi Leigh Berry, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Department Of Radiology, Jackson, MS 39216 Phone: 601-984-2695 Fax: 601-984-2683
Katherine Leigh Ragland, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Dept. Of Radiology, Jackson, MS 39216 Phone: 601-984-2538
Wayne Fai Chan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Radiation Therapy, Jackson, MS 39216 Phone: 601-362-4471 Fax: 601-364-1588
Dr. Mary Oneal, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-362-4471

Edward Green, MD - Medicare Nuclear Medicine in Jackson, MS