Kristin Ann Green, FNP-C in Oak Park, IL - Medicare Nurse Practitioner

Kristin Ann Green, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Oak Park, Illinois. Her current practice location is 101 Madison St Ste 300, Oak Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 486-2700.

Kristin Ann Green is licensed to practice in Illinois (license number 209.023986) 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 1104588227.

Contact Information

	Kristin Ann Green, FNP-C
	101 Madison St Ste 300, Oak Park, IL 60302-4210
	(708) 486-2700
	Not Available

Map and Direction

Provider's Profile

Full Name	Kristin Ann Green
Gender	Female
Speciality	Nurse Practitioner - Family
Location	101 Madison St Ste 300, Oak Park, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104588227
Provider Enumeration Date: 10/06/2021
Last Update Date: 10/06/2021

Medicare PECOS Information:

PECOS PAC ID: 1759770373
Enrollment ID: I20211119000323

Medical Identifiers

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

Identifier	Type	State	Issuer
1104588227	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209.023986 (Illinois)	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. Kristin Ann Green allows following entities to bill medicare on her behalf.

Entity Name	Cimpar Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467496224 PECOS PAC ID: 3577578798 Enrollment ID: O20060209000192

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. Kristin 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
Kristin Ann Green, FNP-C 101 Madison St Ste 300, Oak Park, IL 60302-4210 Ph: (708) 486-2700	Kristin Ann Green, FNP-C 101 Madison St Ste 300, Oak Park, IL 60302-4210 Ph: (708) 486-2700

Reviews and Comments

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Kristin Ann Green, FNP-C - Medicare Nurse Practitioner in Oak Park, IL