Mariana Tristao Green, CNM is a medicare enrolled "Advanced Practice Midwife" physician in Lancaster, Pennsylvania. Her current practice location is
694 Good Dr, Lancaster, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(717) 397-8177.
Mariana Tristao Green is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730952128.
Physician's Profile
Full Name | Mariana Tristao Green |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 694 Good Dr, Lancaster, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1730952128
- Provider Enumeration Date: 11/06/2023
- Last Update Date: 11/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 7113378605
- Enrollment ID: I20240109003027
Medical Identifiers
Medical identifiers for Mariana Tristao Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730952128 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | MW010760 (Pennsylvania) | Secondary |
367A00000X | Advanced Practice Midwife | (* (Not Available)) | 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. Mariana Tristao Green allows following entities to bill medicare on her behalf.
Entity Name | Susquehanna Valley Womens Health Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1952398125 PECOS PAC ID: 8527056670 Enrollment ID: O20040505001438 |
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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. Mariana Tristao 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 |
Mariana Tristao Green, CNM 5024 Constitution Ave, Harrisburg, PA 17109-5552 Ph: (239) 825-0345 | Mariana Tristao Green, CNM 694 Good Dr, Lancaster, PA 17601-2433 Ph: (717) 397-8177 |
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