Katey Elizabeth Green, APRN in Wallingford, CT

Katey Elizabeth Green, APRN is a medicare enrolled "Nurse Practitioner" in Wallingford, Connecticut. Her current practice location is 50 Gaylord Farm Rd, Wallingford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 284-2800.

Katey Elizabeth Green is licensed to practice in Connecticut (license number 11276) 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 1104519586.

Contact Information

	Katey Elizabeth Green, APRN
	50 Gaylord Farm Rd, Wallingford, CT 06492-2828
	(203) 284-2800
	Not Available

Map and Direction

Provider's Profile

Full Name	Katey Elizabeth Green
Gender	Female
Speciality	Nurse Practitioner
Location	50 Gaylord Farm Rd, Wallingford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104519586
Provider Enumeration Date: 05/31/2023
Last Update Date: 05/31/2023

Medicare PECOS Information:

PECOS PAC ID: 0143683557
Enrollment ID: I20230901001675

Medical Identifiers

Medical identifiers for Katey Elizabeth Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104519586	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	11276 (Connecticut)	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. Katey Elizabeth Green allows following entities to bill medicare on her behalf.

Entity Name	Gaylord Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730137753 PECOS PAC ID: 1153224191 Enrollment ID: O20040128000878

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. Katey Elizabeth 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
Katey Elizabeth Green, APRN 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 Ph: (203) 284-2800	Katey Elizabeth Green, APRN 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 Ph: (203) 284-2800

Reviews and Comments

Nurse Practitioner Nurses in Wallingford, CT

Kaitlyn Elizabeth Flynn, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 863 N Main Street Ext Ste 101, Wallingford, CT 06492 Phone: 203-269-3791
Carrie Elizabeth Grassi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 35 Thorpe Ave Ste 104, Wallingford, CT 06492 Phone: 203-779-5799
Deborah B Fahs, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 850 N Main Street Ext., Bldg 2 Suite C2, Wallingford, CT 06492 Phone: 203-269-9778 Fax: 203-949-1544
Joan Mary Landino, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 185 Center St, Wallingford, CT 06492 Phone: 203-676-3606 Fax: 203-265-1037
Dr. Erin Elizabeth Sherman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 74 Cheshire Road, Wallingford, CT 06492 Phone: 203-931-2370
Donna L Mariano, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 67 Masonic Ave, Suite 3100, Wallingford, CT 06492 Phone: 203-284-3144 Fax: 203-284-3150

Katey Elizabeth Green, APRN - Medicare Nurse Practitioner in Wallingford, CT