Terra E Green, NP is a medicare enrolled "Nurse Practitioner" physician in Beloit, Wisconsin. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern Wisconsin Emergency Associates Sc, Beloit Health System Inc and her current practice location is
1905 E Huebbe Pkwy, Beloit Clinic, Beloit, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 364-2240.
Terra E Green is licensed to practice in Wisconsin (license number 5411-33) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366875908.
Physician's Profile
Full Name | Terra E Green |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 11 Years |
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Location | 1905 E Huebbe Pkwy, Beloit, Wisconsin |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Terra E Green graduated from medical school in 2013
NPI Data:
- NPI Number: 1366875908
- Provider Enumeration Date: 08/19/2013
- Last Update Date: 04/09/2015
Medicare PECOS Information:
- PECOS PAC ID: 1557596806
- Enrollment ID: I20131023000583
Medical Identifiers
Medical identifiers for Terra E Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366875908 | NPI | - | NPPES |
1366875908 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 147601-30 (Wisconsin) | Secondary |
363L00000X | Nurse Practitioner | 147601-030 (Wisconsin) | Secondary |
363L00000X | Nurse Practitioner | 5411-33 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Southern Wisconsin Emergency Associates Sc | 3274561055 | 31 |
Beloit Health System Inc | 8224947858 | 111 |
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. Terra E Green allows following entities to bill medicare on her behalf.
Entity Name | Dean Health Systems Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
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Entity Name | Mercy Health System Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
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Entity Name | Beloit Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679616361 PECOS PAC ID: 8224947858 Enrollment ID: O20031215000424 |
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Entity Name | Southern Wisconsin Emergency Associates Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1568538189 PECOS PAC ID: 3274561055 Enrollment ID: O20050802000934 |
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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. Terra 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 |
Terra E Green, NP 1905 E Huebbe Pkwy, Beloit Health System, Beloit, WI 53511-1842 Ph: (608) 364-2200 | Terra E Green, NP 1905 E Huebbe Pkwy, Beloit Clinic, Beloit, WI 53511-1842 Ph: (608) 364-2240 |
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