Miss Latoyha Tamara Green, FNP-C in Columbia, SC

Miss Latoyha Tamara Green, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Columbia, South Carolina. Her current practice location is 4310 Hard Scrabble Rd, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 865-6680.

Miss Latoyha Tamara Green is licensed to practice in South Carolina (license number 21365) 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 1255850392.

Contact Information

	Miss Latoyha Tamara Green, FNP-C
	4310 Hard Scrabble Rd, Columbia, SC 29229-9423
	(803) 865-6680
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Latoyha Tamara Green
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4310 Hard Scrabble Rd, Columbia, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255850392
Provider Enumeration Date: 09/10/2017
Last Update Date: 04/29/2019

Medicare PECOS Information:

PECOS PAC ID: 1355694571
Enrollment ID: I20181105001622

Medical Identifiers

Medical identifiers for Miss Latoyha Tamara Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255850392	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	21365 (South Carolina)	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. Miss Latoyha Tamara Green allows following entities to bill medicare on her behalf.

Entity Name	Molina Care Connections Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20191016002409

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. Miss Latoyha Tamara 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
Miss Latoyha Tamara Green, FNP-C 4310 Hard Scrabble Rd, Columbia, SC 29229-9423 Ph: () -	Miss Latoyha Tamara Green, FNP-C 4310 Hard Scrabble Rd, Columbia, SC 29229-9423 Ph: (803) 865-6680

Reviews and Comments

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Miss Latoyha Tamara Green, FNP-C - Medicare Nurse Practitioner in Columbia, SC