Kody Green, CNP - Medicare Family Medicine in Centerburg, OH

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Kody Green, CNP is a medicare enrolled "Family Medicine" physician in Centerburg, Ohio. His current practice location is 3595 Columbus Rd, Centerburg, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 625-6234.

Kody Green is licensed to practice in Ohio (license number APRN.CNP.0030515) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366193310.

Contact Information

Kody Green, CNP
3595 Columbus Rd,
Centerburg, OH 43011-7088
(740) 625-6234
Not Available

Map and Direction




Physician's Profile

Full NameKody Green
GenderMale
SpecialityFamily Medicine
Location3595 Columbus Rd, Centerburg, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366193310
  • Provider Enumeration Date: 01/11/2022
  • Last Update Date: 03/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0244606796
  • Enrollment ID: I20221025000934

Medical Identifiers

Medical identifiers for Kody Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366193310NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine APRN.CNP.0030515 (Ohio)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. Kody Green allows following entities to bill medicare on his behalf.
Entity NameKnox Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154483022
PECOS PAC ID: 1153301833
Enrollment ID: O20040722001173

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. Kody 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 AddressPractice Location Address
Kody Green, CNP
3595 Columbus Rd,
Centerburg, OH 43011-7088

Ph: (740) 625-6234		Kody Green, CNP
3595 Columbus Rd,
Centerburg, OH 43011-7088

Ph: (740) 625-6234

Reviews and Comments


Family Medicine Doctors in Centerburg, OH

Ron T Martinson, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4581 Columbus Rd, Centerburg, OH 43011
Phone: 740-625-6234    Fax: 740-625-5806
Dr. Jasmine Diana Usher Ledet, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4581 Columbus Rd, Centerburg, OH 43011
Phone: 740-625-6234    Fax: 740-625-5806

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.