Justin Green, is a medicare enrolled "Surgery" physician in Los Alamos, New Mexico. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 1994 and has 30 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Los Alamos Physician Practices Llc and his current practice location is
3917 West Rd Ste A, Los Alamos, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 661-8900.
Justin Green is licensed to practice in South Dakota (license number 4568) 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 1114966462.
Physician's Profile
Full Name | Justin Green |
---|
Gender | Male |
---|
Speciality | General Surgery |
---|
Experience | 30 Years |
---|
Location | 3917 West Rd Ste A, Los Alamos, New Mexico |
---|
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:
- Justin Green attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 1994
NPI Data:
- NPI Number: 1114966462
- Provider Enumeration Date: 06/05/2006
- Last Update Date: 09/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880601137
- Enrollment ID: I20190124000444
Medical Identifiers
Medical identifiers for Justin Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114966462 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 4568 (South Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Los Alamos Physician Practices Llc | 4587661541 | 14 |
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. Justin Green allows following entities to bill medicare on his behalf.
Entity Name | Los Alamos Physician Practices Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1750330510 PECOS PAC ID: 4587661541 Enrollment ID: O20061104000041 |
---|
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. Justin 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 |
Justin Green, 3917 West Rd, Los Alamos, NM 87544-2275 Ph: (505) 661-8900 | Justin Green, 3917 West Rd Ste A, Los Alamos, NM 87544-2292 Ph: (505) 661-8900 |
Reviews and Comments