Robert Clark Green, MD in Texarkana, TX

Robert Clark Green, MD is a medicare enrolled "Pediatrics" physician in Texarkana, Texas. His current practice location is 5002 Cowhorn Creek Rd, Texarkana, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 614-3000.

Robert Clark Green is licensed to practice in Texas (license number H7153) 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 1811997729.

Contact Information

	Robert Clark Green, MD
	5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766
	(903) 614-3000
	(903) 614-3525

Map and Direction

Physician's Profile

Full Name	Robert Clark Green
Gender	Male
Speciality	Pediatrics
Location	5002 Cowhorn Creek Rd, Texarkana, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811997729
Provider Enumeration Date: 07/21/2005
Last Update Date: 04/08/2011

Medicare PECOS Information:

PECOS PAC ID: 5294649661
Enrollment ID: I20031119000048

Medical Identifiers

Medical identifiers for Robert Clark Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811997729	NPI	-	NPPES
110615502	Medicaid	TX
117427001	Other	AR	MEDICAID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	H7153 (Texas)	Primary
208000000X	Pediatrics	C7275 (Arkansas)	Secondary

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. Robert Clark Green allows following entities to bill medicare on his behalf.

Entity Name	Collom & Carney Clinic Association
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114909934 PECOS PAC ID: 1355249541 Enrollment ID: O20031226000046

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. Robert Clark 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
Robert Clark Green, MD 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 Ph: (903) 614-3000	Robert Clark Green, MD 5002 Cowhorn Creek Rd, Texarkana, TX 75503-9766 Ph: (903) 614-3000

Reviews and Comments

Pediatrics Doctors in Texarkana, TX

Dr. Ann Marie Rose Baker, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4503 Texas Blvd., Texarkana, TX 75503 Phone: 903-792-4003 Fax: 903-794-6743
Debra Shanelle Wright-bowers, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525
Christina A Payne, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525
Tina Etminan, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1411 College Dr, Texarkana, TX 75503 Phone: 903-791-1110 Fax: 903-927-1764
Zachariah W. King, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525
Dr. Kevin Earl Kramer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525
Dr. Cheryl L Saul-sehy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525

Robert Clark Green, MD - Medicare Pediatrics in Texarkana, TX