Mrs Kathy Green, MSN, FNP-BC - Medicare Nurse Practitioner in Williamsburg, VA

Mrs Kathy Green, MSN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Williamsburg, Virginia. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tidewater Physicians Multispecialty Group Pc and her current practice location is 5424 Discovery Park Boulevard, Bldg. B Suite 204, Williamsburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 707-3508.

Mrs Kathy Green is licensed to practice in Virginia (license number 0024174126) 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 1295287639.

Contact Information

Mrs Kathy Green, MSN, FNP-BC
5424 Discovery Park Boulevard, Bldg. B Suite 204,
Williamsburg, VA 23188
(757) 707-3508
Not Available

Map and Direction




Provider's Profile

Full NameMrs Kathy Green
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location5424 Discovery Park Boulevard, Williamsburg, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Kathy Green graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1295287639
  • Provider Enumeration Date: 11/02/2016
  • Last Update Date: 09/28/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4284919218
  • Enrollment ID: I20180109002240

Medical Identifiers

Medical identifiers for Mrs Kathy Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295287639NPI-NPPES
0024174126OtherVASTATE MEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024174126 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sentara Home Care Services-williamsburgWilliamsburg, VAHome health agency
Sentara Williamsburg Regional Medical CenterWilliamsburg, VAHospital
Riverside Regional Medical CenterNewport news, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tidewater Physicians Multispecialty Group Pc2860398526252

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. Mrs Kathy Green allows following entities to bill medicare on her behalf.
Entity NameTidewater Physicians Multispecialty Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902848294
PECOS PAC ID: 2860398526
Enrollment ID: O20031211000980
Entity NameVirginia Internal Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740525245
PECOS PAC ID: 4082869250
Enrollment ID: O20130220000224

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. Mrs Kathy 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
Mrs Kathy Green, MSN, FNP-BC
860 Omni Blvd Ste 303,
Newport News, VA 23606-4477

Ph: (757) 232-8769
Mrs Kathy Green, MSN, FNP-BC
5424 Discovery Park Boulevard, Bldg. B Suite 204,
Williamsburg, VA 23188

Ph: (757) 707-3508

Reviews and Comments


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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).

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