Jeffrey Emanuel Green, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Potomac, Maryland. His current practice location is
10600 Tanager Ln, Potomac, Maryland. You can reach out to his office (for appointments etc.) via phone at
(301) 332-0467.
Jeffrey Emanuel Green is licensed to practice in Maryland (license number D0031283) 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 1497246649.
Physician's Profile
Full Name | Jeffrey Emanuel Green |
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Gender | Male |
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Speciality | Medical Genetics - Clinical Genetics (m.d.) |
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Location | 10600 Tanager Ln, Potomac, Maryland |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497246649
- Provider Enumeration Date: 05/23/2018
- Last Update Date: 05/23/2018
Medicare PECOS Information:
- PECOS PAC ID: 8123373115
- Enrollment ID: I20180614002695
Medical Identifiers
Medical identifiers for Jeffrey Emanuel Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497246649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | D0031283 (Maryland) | Secondary |
207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | D0031283 (Maryland) | 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. Jeffrey Emanuel 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 |
Jeffrey Emanuel Green, MD 10600 Tanager Ln, Potomac, MD 20854-6316 Ph: (301) 332-0467 | Jeffrey Emanuel Green, MD 10600 Tanager Ln, Potomac, MD 20854-6316 Ph: (301) 332-0467 |
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