Michael Mccutcheon Green, DO is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Fullerton, California. His current practice location is
2720 N Harbor Blvd, 130, Fullerton, California. You can reach out to his office (for appointments etc.) via phone at
(714) 449-6200.
Michael Mccutcheon Green is licensed to practice in California (license number 20A4975) 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 1902944788.
Physician's Profile
| Full Name | Michael Mccutcheon Green |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 2720 N Harbor Blvd, Fullerton, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1902944788
- Provider Enumeration Date: 02/02/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6608035118
- Enrollment ID: I20120301000766
Medical Identifiers
Medical identifiers for Michael Mccutcheon Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902944788 | NPI | - | NPPES |
| 20A4975 | Other | CA | STATE MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 20A4975 (California) | Primary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 20A4975 (California) | 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. Michael Mccutcheon Green allows following entities to bill medicare on his behalf.
| Entity Name | Pih Health Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609233899
PECOS PAC ID: 8426951328
Enrollment ID: O20040128001177 |
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| Entity Name | Providence Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346 |
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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. Michael Mccutcheon 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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Michael Mccutcheon Green, DO
2720 N Harbor Blvd, 130,
Fullerton, CA 92835-2609
Ph: (714) 449-6200 | Michael Mccutcheon Green, DO
2720 N Harbor Blvd, 130,
Fullerton, CA 92835-2609
Ph: (714) 449-6200 |
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