Kathleen Ann Green, RNC, NNP in New York, NY - Medicare Nurse Practitioner

Kathleen Ann Green, RNC, NNP is a medicare enrolled "Nurse Practitioner - Neonatal, Critical Care" in New York, New York. Her current practice location is 100 E 77th St, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 434-2565.

Kathleen Ann Green is licensed to practice in New York (license number F350059) 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 1093869836.

Contact Information

	Kathleen Ann Green, RNC, NNP
	100 E 77th St, New York, NY 10021-1850
	(212) 434-2565
	(212) 434-4149

Map and Direction

Provider's Profile

Full Name	Kathleen Ann Green
Gender	Female
Speciality	Nurse Practitioner - Neonatal, Critical Care
Location	100 E 77th St, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093869836
Provider Enumeration Date: 01/22/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8325289937
Enrollment ID: I20130724000638

Medical Identifiers

Medical identifiers for Kathleen Ann Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093869836	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0005X	Nurse Practitioner - Neonatal, Critical Care	F350059 (New York)	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. Kathleen Ann Green allows following entities to bill medicare on her behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Kathleen Ann 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
Kathleen Ann Green, RNC, NNP 66 Reynolds St, Bronx, NY 10464-1516 Ph: (718) 885-1157	Kathleen Ann Green, RNC, NNP 100 E 77th St, New York, NY 10021-1850 Ph: (212) 434-2565

Reviews and Comments

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Kathleen Ann Green, RNC, NNP - Medicare Nurse Practitioner in New York, NY