Taylor Jordan Green, FNP is a medicare enrolled "Nurse Practitioner" physician in Galesburg, Illinois. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Osf Multi-specialty Group and her current practice location is
834 N Seminary St, Galesburg, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 343-7132.
Taylor Jordan Green is licensed to practice in Illinois (license number 209023114) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1376128439.
Physician's Profile
Full Name | Taylor Jordan Green |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 4 Years |
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Location | 834 N Seminary St, Galesburg, Illinois |
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Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Taylor Jordan Green graduated from medical school in 2020
NPI Data:
- NPI Number: 1376128439
- Provider Enumeration Date: 03/10/2021
- Last Update Date: 01/23/2023
Medicare PECOS Information:
- PECOS PAC ID: 2466845482
- Enrollment ID: I20220215000755
Medical Identifiers
Medical identifiers for Taylor Jordan Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376128439 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 209023114 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 209023114 (Illinois) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Osf Multi-specialty Group | 3678889789 | 1552 |
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. Taylor Jordan Green allows following entities to bill medicare on her behalf.
Entity Name | Pekin Prohealth Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932150299 PECOS PAC ID: 1951214576 Enrollment ID: O20031110000647 |
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Entity Name | Methodist Medical Center Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
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Entity Name | Proctor Health Systems |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134173917 PECOS PAC ID: 3476440173 Enrollment ID: O20040227000906 |
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Entity Name | Methodist Medical Center Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184670663 PECOS PAC ID: 1355259714 Enrollment ID: O20040315000196 |
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Entity Name | Osf Multi-specialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
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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. Taylor Jordan 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 |
Taylor Jordan Green, FNP 834 N Seminary St, Galesburg, IL 61401-2852 Ph: () - | Taylor Jordan Green, FNP 834 N Seminary St, Galesburg, IL 61401-2852 Ph: (309) 343-7132 |
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