Kayla Ann Green, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Manchester, New Hampshire. Her current practice location is
100 Hitchcock Way, Manchester, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 629-1870.
Kayla Ann Green is licensed to practice in New Hampshire (license number 074259-23) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033939079.
Physician's Profile
Full Name | Kayla Ann Green |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 100 Hitchcock Way, Manchester, New Hampshire |
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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: 1033939079
- Provider Enumeration Date: 10/15/2024
- Last Update Date: 10/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527591403
- Enrollment ID: I20241030003586
Medical Identifiers
Medical identifiers for Kayla Ann Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033939079 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 074259-23 (New Hampshire) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 074259-21 (New Hampshire) | Secondary |
363LF0000X | Nurse Practitioner - Family | 074259-23 (New Hampshire) | 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. Kayla Ann Green allows following entities to bill medicare on her behalf.
Entity Name | Mary Hitchcock Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023092053 PECOS PAC ID: 4486561164 Enrollment ID: O20031126000258 |
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Entity Name | Dartmouth-hitchcock Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442 |
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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. Kayla Ann 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 |
Kayla Ann Green, APRN 6 Spofford Rd, Auburn, NH 03032-3711 Ph: (603) 218-9356 | Kayla Ann Green, APRN 100 Hitchcock Way, Manchester, NH 03104-4125 Ph: (603) 629-1870 |
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