Kristen Green, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Lincoln, Illinois. She went to Southern Illinois University School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Springfield Clinic Llp, Mason Hospital District and her current practice location is
100 Stahlhut Dr, Lincoln, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 735-9555.
Kristen Green is licensed to practice in Illinois (license number 036-104548) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235235052.
Physician's Profile
Full Name | Kristen Green |
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Gender | Female |
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Speciality | Obstetrics/gynecology |
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Experience | 27 Years |
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Location | 100 Stahlhut Dr, Lincoln, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kristen Green attended and graduated from Southern Illinois University School Of Medicine in 1997
NPI Data:
- NPI Number: 1235235052
- Provider Enumeration Date: 09/16/2006
- Last Update Date: 05/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 9931129541
- Enrollment ID: I20060106000084
Medical Identifiers
Medical identifiers for Kristen Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235235052 | NPI | - | NPPES |
036104548 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 036-104548 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Springfield Clinic Llp | 0547166076 | 673 |
Mason Hospital District | 2466360607 | 33 |
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. Kristen Green allows following entities to bill medicare on her behalf.
Entity Name | Springfield Clinic Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780638478 PECOS PAC ID: 0547166076 Enrollment ID: O20040331000826 |
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Entity Name | Mason Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902849649 PECOS PAC ID: 2466360607 Enrollment ID: O20040412000399 |
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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. Kristen 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 |
Kristen Green, MD 1025 S 6th St, Springfield, IL 62703-2403 Ph: (217) 528-7541 | Kristen Green, MD 100 Stahlhut Dr, Lincoln, IL 62656-5059 Ph: (217) 735-9555 |
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