Daphne Russ Green, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Bladenboro, North Carolina. Her current practice location is
305 South Main Street, Bladenboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 770-1514.
Daphne Russ Green is licensed to practice in North Carolina (license number 5014060) 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 1255917746.
Provider's Profile
Full Name | Daphne Russ Green |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 305 South Main Street, Bladenboro, North Carolina |
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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:
- Daphne Russ Green attended and graduated from in
NPI Data:
- NPI Number: 1255917746
- Provider Enumeration Date: 03/23/2021
- Last Update Date: 05/25/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Daphne Russ Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255917746 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 5014060 (North Carolina) | Primary |
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. Daphne Russ 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 |
Daphne Russ Green, NURSE PRACTITIONER 305 South Main Street, Bladenboro, NC 28320 Ph: (910) 809-0082 | Daphne Russ Green, NURSE PRACTITIONER 305 South Main Street, Bladenboro, NC 28320 Ph: (910) 770-1514 |
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