Lori Shea Jean Green, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Corydon, Indiana. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Baptist Health Medical Group Inc and her current practice location is
313 Federal Dr Nw Ste 130, Corydon, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 734-3952.
Lori Shea Jean Green is licensed to practice in Indiana (license number 71000547A) 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 1740225820.
Physician's Profile
| Full Name | Lori Shea Jean Green |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 26 Years |
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| Location | 313 Federal Dr Nw Ste 130, Corydon, Indiana |
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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. |
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Medical Education and Training:
- Lori Shea Jean Green graduated from medical school in 1998
NPI Data:
- NPI Number: 1740225820
- Provider Enumeration Date: 06/20/2006
- Last Update Date: 12/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 0345420584
- Enrollment ID: I20131109000559
Medical Identifiers
Medical identifiers for Lori Shea Jean Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740225820 | NPI | - | NPPES |
| 7100151870 | Medicaid | KY | |
| 1017630001 | Other | IN | DMERC |
| 271288 | Other | IN | ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 3005070 (Kentucky) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 71000547A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Baptist Health Medical Group Inc | 5597867184 | 1934 |
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. Lori Shea Jean Green allows following entities to bill medicare on her behalf.
| Entity Name | Baptist Health Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508269200
PECOS PAC ID: 5597867184
Enrollment ID: O20090527000129 |
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| Entity Name | Norton Clark Physician Practices Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083098651
PECOS PAC ID: 0840504114
Enrollment ID: O20150730011797 |
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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. Lori Shea Jean 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 |
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Lori Shea Jean Green, NP
330 Seven Springs Way,
Brentwood, TN 37027-5098
Ph: (615) 920-7906 | Lori Shea Jean Green, NP
313 Federal Dr Nw Ste 130,
Corydon, IN 47112-3099
Ph: (812) 734-3952 |
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