Ellis A Green, MD in Montgomery, OH

Ellis A Green, MD is a medicare enrolled "Hospitalist" physician in Montgomery, Ohio. His current practice location is 10500 Montgomery Rd, Montgomery, Ohio. You can reach out to his office (for appointments etc.) via phone at (513) 865-2246.

Ellis A Green is licensed to practice in Ohio (license number 35.147159) 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 1053931170.

Contact Information

	Ellis A Green, MD
	10500 Montgomery Rd, Montgomery, OH 45242-4402
	(513) 865-2246
	(513) 865-5552

Map and Direction

Physician's Profile

Full Name	Ellis A Green
Gender	Male
Speciality	Hospitalist
Location	10500 Montgomery Rd, Montgomery, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053931170
Provider Enumeration Date: 04/18/2020
Last Update Date: 07/03/2023

Medicare PECOS Information:

PECOS PAC ID: 6901229087
Enrollment ID: I20230719001684

Medical Identifiers

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

Identifier	Type	State	Issuer
1053931170	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	125.076113 (Illinois)	Secondary
207R00000X	Internal Medicine	35.147159 (Ohio)	Secondary
208M00000X	Hospitalist	35.147159 (Ohio)	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. Ellis A Green allows following entities to bill medicare on his behalf.

Entity Name	Trihealth H Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811215742 PECOS PAC ID: 1850570458 Enrollment ID: O20110128000356

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. Ellis A 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
Ellis A Green, MD 10500 Montgomery Rd, Montgomery, OH 45242-4402 Ph: (513) 865-2246	Ellis A Green, MD 10500 Montgomery Rd, Montgomery, OH 45242-4402 Ph: (513) 865-2246

Reviews and Comments

Hospitalist Doctors in Montgomery, OH

Dr. Dennis Emuron, M.B.CH.B Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-2246
Roshni D Jain, Hospitalist Medicare: Medicare Enrolled Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-2246 Fax: 513-865-5552
Dr. Siddharth Shankar, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 10506b Montgomery Rd Ste 407, Montgomery, OH 45242 Phone: 513-793-2077 Fax: 513-793-4523
Katrina Lynn Centner, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-2246 Fax: 513-865-5552
Michael Butler, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-2246
Daniel Thomas Bond, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-2246
Dr. Zachary B Smith, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-2246 Fax: 513-865-5552

Ellis A Green, MD - Medicare Hospitalist in Montgomery, OH