Mr Jerry Lee Green Jr, FNP - Nurse Practitioner in Fort Leavenworth, KS

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Mr Jerry Lee Green Jr, FNP is a Nurse Practitioner - Family based in Fort Leavenworth, Kansas. Mr Jerry Lee Green Jr is licensed to practice in Kansas (license number 45863) and his current practice location is 550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Ms. Cotton), Fort Leavenworth, Kansas. He can be reached at his office (for appointments etc.) via phone at (913) 684-6562.

NPI number for Mr Jerry Lee Green Jr is 1366449316 and his current mailing address is 6522 Hedge Lane Ter, Apt 206, Shawnee, Kansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366449316.

Contact Information

Mr Jerry Lee Green Jr, FNP
550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Ms. Cotton),
Fort Leavenworth, KS 66027-2332
(913) 684-6562
(913) 684-6208

Map and Direction




Provider's Profile

Full NameMr Jerry Lee Green Jr
GenderMale
SpecialityNurse Practitioner - Family
Location550 Pope Ave, Fort Leavenworth, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366449316
  • Provider Enumeration Date: 07/06/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Jerry Lee Green Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366449316NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP30006651 (Washington)Secondary
363LF0000XNurse Practitioner - Family 45863 (Kansas)Primary

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. Mr Jerry Lee Green Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jerry Lee Green Jr, FNP
6522 Hedge Lane Ter, Apt 206,
Shawnee, KS 66226-4872

Ph: (360) 584-3952		Mr Jerry Lee Green Jr, FNP
550 Pope Ave, Munson Army Health Center (attn: Mcxn-cod, Ms. Cotton),
Fort Leavenworth, KS 66027-2332

Ph: (913) 684-6562

Reviews and Comments


Nurse Practitioner Nurses in Fort Leavenworth, KS

Miss Ligia J Taylor, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 132 Harry Bell Rd, Fort Leavenworth, KS 66027
Phone: 417-655-0627    
Alexandra Nicole Dibasilio,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 315 Pope Ave Apt 8, Fort Leavenworth, KS 66027
Phone: 410-960-5206    
Vincent Krause, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027
Phone: 913-684-6000    
Ms. Sashi A Zickefoose, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027
Phone: 913-684-6601    
Ernest Francia Degenhardt, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 550 Pope Ave, Munson Army Health Center (attn) Mcxn-cod. Ms Cotton, Fort Leavenworth, KS 66027
Phone: 913-684-6562    Fax: 913-684-6208
James Lawrence Sall, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 550 Pope Ave, Fort Leavenworth, KS 66027
Phone: 913-684-6671    

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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.

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