Kelly D Green, MD in Jackson, TN - Medicare Interventional Cardiology

Kelly D Green, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Jackson, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Interventional Cardiology. He is a member of the group practice Jackson Clinic Pa and his current practice location is 145 Innovation Dr, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 422-0213.

Kelly D Green is licensed to practice in Tennessee (license number 45891) 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 1790909489.

Contact Information

	Kelly D Green, MD
	145 Innovation Dr, Jackson, TN 38305-3019
	(731) 422-0213
	(731) 422-0409

Map and Direction

Physician's Profile

Full Name	Kelly D Green
Gender	Male
Speciality	Interventional Cardiology
Experience	17 Years
Location	145 Innovation Dr, Jackson, Tennessee
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:

Kelly D Green attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2007

NPI Data:

NPI Number: 1790909489
Provider Enumeration Date: 04/12/2007
Last Update Date: 10/25/2023

Medicare PECOS Information:

PECOS PAC ID: 5698964500
Enrollment ID: I20110107000555

Medical Identifiers

Medical identifiers for Kelly D Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790909489	NPI	-	NPPES
1521978	Medicaid	TN
P01391750	Other	TN	RRMC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	45891 (Tennessee)	Primary
207R00000X	Internal Medicine	45891 (Tennessee)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jackson-madison County General Hospital	Jackson, TN	Hospital
Baptist Memorial Hospital - Carroll County	Huntingdon, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jackson Clinic Pa	2668376872	179

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. Kelly D Green allows following entities to bill medicare on his behalf.

Entity Name	Jackson Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285629386 PECOS PAC ID: 2668376872 Enrollment ID: O20040318000962

Entity Name	Vanderbilt University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369

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. Kelly D 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
Kelly D Green, MD Po Box 400, Jackson, TN 38302-0400 Ph: (731) 425-5752	Kelly D Green, MD 145 Innovation Dr, Jackson, TN 38305-3019 Ph: (731) 422-0213

Reviews and Comments

Internal Medicine Doctors in Jackson, TN

John Baker, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 587 Skyline Dr, Jackson, TN 38301 Phone: 731-421-6510 Fax: 731-421-6500
Dr. Susan Alex, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 221 Sterling Farms Dr., Jackson, TN 38305 Phone: 731-668-4337 Fax: 731-661-0124
Dr. Kelsey B Dexter, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2863 Highway 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-660-8336
Kpienoba Manan Hien, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000
Lucas Carver, Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000
Dr. Clyde E Smith, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 27 Medical Center Dr, Jackson, TN 38301 Phone: 731-424-1001
Brittain Douglas Little, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 27 Medical Center Dr, Jackson, TN 38301 Phone: 731-424-1001 Fax: 731-426-0388

Kelly D Green, MD - Medicare Interventional Cardiology in Jackson, TN