Mack Green, MD - Medicare Sports Medicine in Apple Valley, CA

Mack Green, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Apple Valley, California. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Southern California Bone And Joint Clinic Inc and his current practice location is 16008 Kamana Rd, Suite 100, Apple Valley, California. You can reach out to his office (for appointments etc.) via phone at (760) 956-5200.

Mack Green is licensed to practice in California (license number A1259029) 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 1043531676.

Contact Information

Mack Green, MD
16008 Kamana Rd, Suite 100,
Apple Valley, CA 92307-1376
(760) 956-5200
(760) 669-0793

Map and Direction




Physician's Profile

Full NameMack Green
GenderMale
SpecialitySports Medicine
Experience16 Years
Location16008 Kamana Rd, Apple Valley, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mack Green graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1043531676
  • Provider Enumeration Date: 06/17/2010
  • Last Update Date: 09/28/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8325260730
  • Enrollment ID: I20141118002679

Medical Identifiers

Medical identifiers for Mack Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043531676NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine A1259029 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Bone And Joint Clinic Inc38707717692

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. Mack Green allows following entities to bill medicare on his behalf.
Entity NameSouthern California Bone And Joint Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457670226
PECOS PAC ID: 3870771769
Enrollment ID: O20110623000528

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. Mack 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
Mack Green, MD
12277 Apple Valley Rd, Pmb 288,
Apple Valley, CA 92308-1701

Ph: (760) 956-5200
Mack Green, MD
16008 Kamana Rd, Suite 100,
Apple Valley, CA 92307-1376

Ph: (760) 956-5200

Reviews and Comments


Family Medicine Doctors in Apple Valley, CA

Dr. Cynthia Lynn Thomas, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 16017 Tuscola Rd, Suite E, Apple Valley, CA 92307
Phone: 760-946-1776    Fax: 760-946-1668
Dr. Kenneth Grier, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 18564 Us Highway 18 Ste 101, Apple Valley, CA 92307
Phone: 760-242-7777    
Dr. Craig R Mueller, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 15863 Kasota Rd, Apple Valley, CA 92307
Phone: 760-948-1454    Fax: 760-948-6100
Mazen K Munir, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 18144 Us Highway 18, Suite 140, Apple Valley, CA 92307
Phone: 760-242-5500    Fax: 760-242-5506
James Krider, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 18182 Us Highway 18, Suite 105, Apple Valley, CA 92307
Phone: 760-242-1234    Fax: 760-242-5527
Dawit Mamo, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 16070 Tuscola Rd, Suite 101, Apple Valley, CA 92307
Phone: 760-242-4000    Fax: 760-242-5250

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.