Gina Lynne Green, FNP-C - Medicare Nurse Practitioner in Vicksburg, MI

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Gina Lynne Green, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Vicksburg, Michigan. Her current practice location is 15600 Portage Rd, Vicksburg, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 718-7733.

Gina Lynne Green is licensed to practice in Michigan (license number 4704258294) 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 1992420418.

Contact Information

Gina Lynne Green, FNP-C
15600 Portage Rd,
Vicksburg, MI 49097-9722
(269) 718-7733
Not Available

Map and Direction




Provider's Profile

Full NameGina Lynne Green
GenderFemale
SpecialityNurse Practitioner - Family
Location15600 Portage Rd, Vicksburg, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992420418
  • Provider Enumeration Date: 10/06/2022
  • Last Update Date: 10/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0840655700
  • Enrollment ID: I20230427001731

Medical Identifiers

Medical identifiers for Gina Lynne Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992420418NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704258294 (Michigan)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. Gina Lynne Green allows following entities to bill medicare on her behalf.
Entity NameBronson Methodist Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417961137
PECOS PAC ID: 0244148633
Enrollment ID: O20031208000832
Entity NamePrompt Care Express Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841268513
PECOS PAC ID: 8921999319
Enrollment ID: O20040324000249

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. Gina Lynne 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 AddressPractice Location Address
Gina Lynne Green, FNP-C
15600 Portage Rd,
Vicksburg, MI 49097-9722

Ph: (269) 718-7733		Gina Lynne Green, FNP-C
15600 Portage Rd,
Vicksburg, MI 49097-9722

Ph: (269) 718-7733

Reviews and Comments


Nurse Practitioner Nurses in Vicksburg, MI

Debra Klinger,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 13320 N Boulevard St, Vicksburg, MI 49097
Phone: 269-649-2012    Fax: 269-649-3752
Mrs. Rebecca Ann Waurio, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 20100 Mint Rd, Vicksburg, MI 49097
Phone: 269-599-1375    
Kathy Fenton-miller, R.N., A.N.P.-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 13320 N Boulevard St, Vicksburg, MI 49097
Phone: 269-649-2012    Fax: 269-649-3318

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.