Shannon Green, in San Diego, CA - Medicare Radiology

Shannon Green, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in San Diego, California. Her current practice location is 200 W Arbor Dr # Mc8425, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 543-3534.

Shannon Green is licensed to practice in California (license number A160498) 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 1306370150.

Contact Information

	Shannon Green,
	200 W Arbor Dr # Mc8425, San Diego, CA 92103-1911
	(619) 543-3534
	Not Available

Map and Direction

Physician's Profile

Full Name	Shannon Green
Gender	Female
Speciality	Radiology - Diagnostic Radiology
Location	200 W Arbor Dr # Mc8425, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306370150
Provider Enumeration Date: 04/19/2017
Last Update Date: 10/27/2023

Medicare PECOS Information:

PECOS PAC ID: 5092166017
Enrollment ID: I20240103004403

Medical Identifiers

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

Identifier	Type	State	Issuer
1306370150	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	A160498 (California)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	A160498 (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. Shannon Green allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Shannon 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
Shannon Green, 200 W Arbor Dr # Mc8425, San Diego, CA 92103-1911 Ph: (619) 543-3534	Shannon Green, 200 W Arbor Dr # Mc8425, San Diego, CA 92103-1911 Ph: (619) 543-3534

Reviews and Comments

Radiology Doctors in San Diego, CA

Kripa Anil Guram, MD Radiology Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781
Dr. Lejla Aganovic, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781
Dr. Zachary G. Rattner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 995 Gateway Center Way, Suite 207, San Diego, CA 92102 Phone: 619-263-9729 Fax: 619-263-9730
Dr. Soheil Niku, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12580 Carmel Creek Rd, #52, San Diego, CA 92130 Phone: 619-322-0341 Fax: 858-509-0341
Dr. Frank B. Hamlett, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 319 Laurel St, San Diego, CA 92101 Phone: 619-234-3918 Fax: 619-234-5342
Dr. Aaron Mathew Smith, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7910 Frost St, San Diego, CA 92123 Phone: 858-939-3600
Dr. Paul S Schulman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4352 Trias St, San Diego, CA 92103 Phone: 619-997-8881 Fax: 619-795-9980

Shannon Green, - Medicare Radiology in San Diego, CA