Kevin Dwight Green, MD in Tyler, TX - Medicare Gastroenterology

Kevin Dwight Green, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Tyler, Texas. He went to University Of The South Medical Department and graduated in 1983 and has 41 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Christus Trinity Clinic and his current practice location is 1720 South Beckham Ave, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 595-5101.

Kevin Dwight Green is licensed to practice in Texas (license number G5113) 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 1811900194.

Contact Information

	Kevin Dwight Green, MD
	1720 South Beckham Ave, Tyler, TX 75701
	(903) 595-5101
	(903) 597-2314

Map and Direction

Physician's Profile

Full Name	Kevin Dwight Green
Gender	Male
Speciality	Gastroenterology
Experience	41 Years
Location	1720 South Beckham Ave, Tyler, Texas
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:

Kevin Dwight Green attended and graduated from University Of The South Medical Department in 1983

NPI Data:

NPI Number: 1811900194
Provider Enumeration Date: 08/15/2006
Last Update Date: 01/10/2017

Medicare PECOS Information:

PECOS PAC ID: 2062450505
Enrollment ID: I20101021000310

Medical Identifiers

Medical identifiers for Kevin Dwight Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811900194	NPI	-	NPPES
75-2616977-008	Other	TX	TRICARE
129618812	Medicaid	TX
75-2616977-125	Other	TX	TRICARE
129618808	Medicaid	TX
75-2616977-054	Other	TX	TRICARE
100007934	Other	TX	RAIL ROAD MEDICARE
8GC722	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0100X	Internal Medicine - Gastroenterology	G5113 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Mother Frances Hospital	Tyler, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christus Trinity Clinic	3072426741	1217

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. Kevin Dwight Green allows following entities to bill medicare on his behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

Entity Name	Aligned Providers Of East Texas
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144632621 PECOS PAC ID: 3274758917 Enrollment ID: O20140714000201

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. Kevin Dwight 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
Kevin Dwight Green, MD Po Box 846098, Dallas, TX 75284-6098 Ph: (903) 324-6400	Kevin Dwight Green, MD 1720 South Beckham Ave, Tyler, TX 75701 Ph: (903) 595-5101

Reviews and Comments

Internal Medicine Doctors in Tyler, TX

Ifeatu Uchenna Oti, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128
Preetham Reddy Muskula, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2608 Mcdonald Rd, Tyler, TX 75701 Phone: 903-595-5514 Fax: 903-262-3715
Dr. Varalaxmi Bhavani Nannaka, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 912 S Fleishel Ave, Tyler, TX 75701 Phone: 903-592-6901
David A Brickey, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 800 E Dawson St, Tyler, TX 75701 Phone: 903-525-1914
Randy Craig Randall, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 1783 Troup Highway, Tyler, TX 75701 Phone: 903-595-2283 Fax: 903-595-1063
Nabeel K Ahmed, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Dr, Tyler, TX 75701 Phone: 903-595-5486 Fax: 903-595-5128
Rodolfo Amaro-galvez, MD Gastroenterology Medicare: Medicare Enrolled Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7072 Fax: 903-877-5838

Kevin Dwight Green, MD - Medicare Gastroenterology in Tyler, TX