Kenneth E Green, MD is a medicare enrolled "Surgery" physician in La Grange, Kentucky. His current practice location is
1025 New Moody Ln, La Grange, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(502) 222-0598.
Kenneth E Green is licensed to practice in Kentucky (license number 24940) 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 1508802950.
Physician's Profile
Full Name | Kenneth E Green |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 1025 New Moody Ln, La Grange, Kentucky |
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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:
- Kenneth E Green attended and graduated from in
NPI Data:
- NPI Number: 1508802950
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 05/02/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kenneth E Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508802950 | NPI | - | NPPES |
6424940200 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 24940 (Kentucky) | 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. Kenneth E 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 |
Kenneth E Green, MD 2700 Stanley Gault Pkwy Ste 129, Louisville, KY 40223-5176 Ph: (502) 489-6613 | Kenneth E Green, MD 1025 New Moody Ln, La Grange, KY 40031-9154 Ph: (502) 222-0598 |
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