Glen A Green, MD in Norfolk, VA - Medicare Pediatrics

Glen A Green, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Norfolk, Virginia. His current practice location is 601 Childrens Ln, Norfolk, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 668-7456.

Glen A Green is licensed to practice in Virginia (license number 0101039300) 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 1477505907.

Contact Information

	Glen A Green, MD
	601 Childrens Ln, Norfolk, VA 23507-1910
	(757) 668-7456
	(757) 668-9255

Map and Direction

Physician's Profile

Full Name	Glen A Green
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	601 Childrens Ln, Norfolk, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477505907
Provider Enumeration Date: 05/16/2006
Last Update Date: 12/09/2009

Medicare PECOS Information:

PECOS PAC ID: 3779628565
Enrollment ID: I20100304000413

Medical Identifiers

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

Identifier	Type	State	Issuer
1477505907	NPI	-	NPPES
0000931601	Medicaid	DE
006722164	Medicaid	VA
119981100	Medicaid	MD
1802339000	Medicaid	WV
0018694320001	Medicaid	PA
890677B	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	0101039300 (Virginia)	Primary
208000000X	Pediatrics	0101039300 (Virginia)	Secondary
207L00000X	Anesthesiology	0101039300 (Virginia)	Secondary

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. Glen A Green allows following entities to bill medicare on his behalf.

Entity Name	Childrens Specialty Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255354130 PECOS PAC ID: 5890788764 Enrollment ID: O20040406001195

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. Glen 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
Glen A Green, MD Po Box 79137, Baltimore, MD 21279-0137 Ph: (757) 668-7200	Glen A Green, MD 601 Childrens Ln, Norfolk, VA 23507-1910 Ph: (757) 668-7456

Reviews and Comments

Pediatrics Doctors in Norfolk, VA

Joshua Wayne Gollub, Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7000
Stephen C. Restaino, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7179 Fax: 757-668-9810
Michael Lee Smith, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7456 Fax: 757-668-9255
Phyllis R. Hope, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7456 Fax: 757-668-9255
Linda D Pegram, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7007 Fax: 757-668-8658
Ernette Yvonne Benson-foulk, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6345 Center Dr, Building 14, Norfolk, VA 23502 Phone: 757-461-4027 Fax: 757-461-8821
Monica G Baker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 601 Childrens Ln, Norfolk, VA 23507 Phone: 757-668-7456 Fax: 757-668-9255

Glen A Green, MD - Medicare Pediatrics in Norfolk, VA