Gayle Green, is a
Behavior Technician physician based in Farmington Hills, Michigan. Gayle Green is licensed to practice in * (Not Available) (license number ) and his current practice location is 27777 Inkster Rd, Farmington Hills, Michigan. He can be reached at his office (for appointments etc.) via phone at
(248) 436-4400.
NPI number for Gayle Green is 1467926584 and his current mailing address is 27777 Inkster Rd, Farmington Hills, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467926584.
Physician's Profile
| Full Name | Gayle Green |
|---|
| Gender | Male |
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| Speciality | Behavior Technician |
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| Location | 27777 Inkster Rd, Farmington Hills, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1467926584
- Provider Enumeration Date: 01/11/2019
- Last Update Date: 01/14/2019
Medical Identifiers
Medical identifiers for Gayle Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467926584 | NPI | - | NPPES |
| XYK991439774 | Other | MI | BLUE CARE NETWORK OF MICHIGAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 2084N0400X (Michigan) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | 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. Gayle Green is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Gayle Green,
27777 Inkster Rd,
Farmington Hills, MI 48334-5326
Ph: (248) 436-4400 | Gayle Green,
27777 Inkster Rd,
Farmington Hills, MI 48334-5326
Ph: (248) 436-4400 |
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