Erika Michelle Green, in South Jordan, UT - Medicare Nurse Practitioner

Erika Michelle Green, is a medicare enrolled "Nurse Practitioner - Pediatrics" in South Jordan, Utah. Her current practice location is 11312 S Berg Hollow Ln, South Jordan, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 803-3821.

Erika Michelle Green is licensed to practice in Utah (license number 10611444-4405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750043204.

Contact Information

	Erika Michelle Green,
	11312 S Berg Hollow Ln, South Jordan, UT 84095-4023
	(801) 803-3821
	Not Available

Map and Direction

Provider's Profile

Full Name	Erika Michelle Green
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	11312 S Berg Hollow Ln, South Jordan, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750043204
Provider Enumeration Date: 10/12/2021
Last Update Date: 09/11/2023

Medicare PECOS Information:

PECOS PAC ID: 2365890480
Enrollment ID: I20231130001816

Medical Identifiers

Medical identifiers for Erika Michelle Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750043204	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	10611444-3102 (Utah)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	10611444-4405 (Utah)	Primary

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. Erika Michelle Green allows following entities to bill medicare on her behalf.

Entity Name	San Miguel Clinic Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114920717 PECOS PAC ID: 1254226079 Enrollment ID: O20040219000384

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. Erika Michelle 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
Erika Michelle Green, 11312 S Berg Hollow Ln, South Jordan, UT 84095-4023 Ph: (801) 803-3821	Erika Michelle Green, 11312 S Berg Hollow Ln, South Jordan, UT 84095-4023 Ph: (801) 803-3821

Reviews and Comments

Nurse Practitioner Nurses in South Jordan, UT

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Samareea Daquator Tesia Saunders, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10920 S River Front Pkwy, South Jordan, UT 84095 Phone: 347-388-0379
Mrs. Michaelle Lei Spears, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 922 W Baxter Dr, South Jordan, UT 84095 Phone: 801-253-3200
Jennifer Christine Oleskowicz, RN, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4621 W Daybreak Rim Way, South Jordan, UT 84009 Phone: 201-294-1489
Natosha L Tullos, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5432 W Copper Needle Way, South Jordan, UT 84009 Phone: 801-898-1770
Vilate M Thur, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3556 W 9800 S, #101, South Jordan, UT 84095 Phone: 801-567-9750 Fax: 801-567-9826

Erika Michelle Green, - Medicare Nurse Practitioner in South Jordan, UT