Robert E Green, DO is a medicare enrolled "Emergency Medicine" physician in Franklin, Kentucky. His current practice location is
1100 Brookhaven Rd, Franklin, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 598-4827.
Robert E Green is licensed to practice in Kentucky (license number 02796) 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 1215976485.
Physician's Profile
| Full Name | Robert E Green |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 1100 Brookhaven Rd, Franklin, Kentucky |
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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: 1215976485
- Provider Enumeration Date: 06/05/2006
- Last Update Date: 12/20/2007
Medicare PECOS Information:
- PECOS PAC ID: 0244200459
- Enrollment ID: I20041027000035
Medical Identifiers
Medical identifiers for Robert E Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215976485 | NPI | - | NPPES |
| 64060049 | Medicaid | KY | |
| 000000340428 | Other | KY | BLUE CROSS BLUE SHIELD |
| P00162404 | Other | KY | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 02796 (Kentucky) | 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. Robert E Green allows following entities to bill medicare on his behalf.
| Entity Name | Lone Peak Inpatient Services Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376952119
PECOS PAC ID: 0143544460
Enrollment ID: O20150115000590 |
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| Entity Name | Emergency Medicine Services Of Tn, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720785884
PECOS PAC ID: 3173989837
Enrollment ID: O20230523000265 |
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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. Robert E 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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Robert E Green, DO
5059 Stroud Rd,
Cedar Hill, TN 37032-4802
Ph: () - | Robert E Green, DO
1100 Brookhaven Rd,
Franklin, KY 42134-2746
Ph: (270) 598-4827 |
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