Mrs Carrie Lynn Green, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jbsa Lackland, Tx, Texas. Her current practice location is
1100 Wilford Hall Loop,bldg 4554 Attn: 59 Mdw/sghc, Jbsa Lackland, Tx, Texas. You can reach out to her office (for appointments etc.) via phone at
(210) 292-5596.
Mrs Carrie Lynn Green is licensed to practice in Texas (license number 550629) 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 1326011479.
Provider's Profile
Full Name | Mrs Carrie Lynn Green |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 1100 Wilford Hall Loop,bldg 4554 Attn: 59 Mdw/sghc, Jbsa Lackland, Tx, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326011479
- Provider Enumeration Date: 02/09/2006
- Last Update Date: 07/03/2018
Medicare PECOS Information:
- PECOS PAC ID: 6406202514
- Enrollment ID: I20231026000122
Medical Identifiers
Medical identifiers for Mrs Carrie Lynn Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326011479 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 550629 (Texas) | 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. Mrs Carrie Lynn Green allows following entities to bill medicare on her behalf.
Entity Name | Youngs Professional Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20120104000614 |
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Entity Name | Cpr Anesthesia Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326436353 PECOS PAC ID: 7416272927 Enrollment ID: O20201222000543 |
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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 Carrie Lynn 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 |
Mrs Carrie Lynn Green, CRNA Po Box 821, Utopia, TX 78884-0821 Ph: (830) 966-2455 | Mrs Carrie Lynn Green, CRNA 1100 Wilford Hall Loop,bldg 4554 Attn: 59 Mdw/sghc, Jbsa Lackland, Tx, TX 78236-9908 Ph: (210) 292-5596 |
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