Damon Anderson Green, NP in Oakland, CA - Medicare Nurse Practitioner

Damon Anderson Green, NP is a medicare enrolled "Nurse Practitioner" in Oakland, California. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 275 W Macarthur Blvd, Oakland, California. You can reach out to his office (for appointments etc.) via phone at (510) 752-1000.

Damon Anderson Green is licensed to practice in California (license number 95010752) 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 1093279259.

Contact Information

	Damon Anderson Green, NP
	275 W Macarthur Blvd, Oakland, CA 94611-5641
	(510) 752-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Damon Anderson Green
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	275 W Macarthur Blvd, Oakland, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Damon Anderson Green graduated from nursing school in 2018

NPI Data:

NPI Number: 1093279259
Provider Enumeration Date: 01/22/2019
Last Update Date: 01/11/2022

Medicare PECOS Information:

PECOS PAC ID: 2668882986
Enrollment ID: I20201027003059

Medical Identifiers

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

Identifier	Type	State	Issuer
1093279259	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	95010752 (California)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	95010752 (California)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	95010752 (California)	Secondary
363L00000X	Nurse Practitioner	95010752 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	8376

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. Damon Anderson Green allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Damon Anderson 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
Damon Anderson Green, NP 372 Orange St Apt 2, Oakland, CA 94610-2938 Ph: (415) 272-2972	Damon Anderson Green, NP 275 W Macarthur Blvd, Oakland, CA 94611-5641 Ph: (510) 752-1000

Reviews and Comments

Nurse Practitioner Nurses in Oakland, CA

Emily Duane Lloyd, NPF Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1030 International Blvd, Oakland, CA 94606 Phone: 510-238-5400 Fax: 510-238-5437
Erica Tringale, N.P, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3373
Shelley Anne Bull, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3885
Mrs. Michelle Annette Harris-miller, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3025 High St, Oakland, CA 94619 Phone: 510-261-5200
Annie Roque, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-4418
Mr. Keith M. Thibault, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000
Colleen Mccullough, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2950 International Blvd, Oakland, CA 94601 Phone: 510-535-4400

Damon Anderson Green, NP - Medicare Nurse Practitioner in Oakland, CA