Timothy Green, MD is a medicare enrolled "Internal Medicine" physician in Nowata, Oklahoma. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Cherokee Nation and his current practice location is
1020 Lenape Dr, Nowata, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 273-0192.
Timothy Green is licensed to practice in Oklahoma (license number 31695) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457739039.
Physician's Profile
| Full Name | Timothy Green |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 9 Years |
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| Location | 1020 Lenape Dr, Nowata, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Timothy Green graduated from medical school in 2015
NPI Data:
- NPI Number: 1457739039
- Provider Enumeration Date: 05/14/2015
- Last Update Date: 09/18/2018
Medicare PECOS Information:
- PECOS PAC ID: 9931497914
- Enrollment ID: I20181206002915
Medical Identifiers
Medical identifiers for Timothy Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457739039 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 31695 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cherokee Nation | 5799698742 | 361 |
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. Timothy Green allows following entities to bill medicare on his behalf.
| Entity Name | Cherokee Nation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780692723
PECOS PAC ID: 5799698742
Enrollment ID: O20031106000628 |
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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. Timothy 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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Timothy Green, MD
1020 Lenape Dr,
Nowata, OK 74048-4403
Ph: (918) 273-0192 | Timothy Green, MD
1020 Lenape Dr,
Nowata, OK 74048
Ph: (918) 273-0192 |
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