Mrs Katherine Denise Lynn Green, APRN in Holdenville, OK

Mrs Katherine Denise Lynn Green, APRN is a medicare enrolled "Nurse Practitioner - Family" in Holdenville, Oklahoma. Her current practice location is 100 Mcdougal Dr, Holdenville, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 379-4200.

Mrs Katherine Denise Lynn Green is licensed to practice in Oklahoma (license number 212052) 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 1295434512.

Contact Information

	Mrs Katherine Denise Lynn Green, APRN
	100 Mcdougal Dr, Holdenville, OK 74848-2899
	(405) 379-4200
	(405) 379-4204

Map and Direction

Provider's Profile

Full Name	Mrs Katherine Denise Lynn Green
Gender	Female
Speciality	Nurse Practitioner - Family
Location	100 Mcdougal Dr, Holdenville, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295434512
Provider Enumeration Date: 02/24/2023
Last Update Date: 04/13/2023

Medicare PECOS Information:

PECOS PAC ID: 9436514809
Enrollment ID: I20230509000372

Medical Identifiers

Medical identifiers for Mrs Katherine Denise Lynn Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295434512	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R0089984 (Oklahoma)	Secondary
363LF0000X	Nurse Practitioner - Family	212052 (Oklahoma)	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 Katherine Denise Lynn Green allows following entities to bill medicare on her behalf.

Entity Name	Holdenville Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265851455 PECOS PAC ID: 6002031424 Enrollment ID: O20140702001183

Entity Name	Icare Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881190833 PECOS PAC ID: 0840555777 Enrollment ID: O20180524001890

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 Katherine Denise 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 Katherine Denise Lynn Green, APRN 100 Mcdougal Dr, Holdenville, OK 74848-2899 Ph: (405) 379-4200	Mrs Katherine Denise Lynn Green, APRN 100 Mcdougal Dr, Holdenville, OK 74848-2899 Ph: (405) 379-4200

Reviews and Comments

Nurse Practitioner Nurses in Holdenville, OK

Julia Amilee Dority, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Mcdougal Dr, Holdenville, OK 74848 Phone: 405-379-4201 Fax: 405-379-4264
Mr. Aeric Wynn Creekmore Ii, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Mcdougal Dr, Holdenville, OK 74848 Phone: 405-379-2150
Diana C Hardwick, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Mcdougal Dr, Holdenville, OK 74848 Phone: 405-379-3313
Karis Ashley Rodriguez, APRN CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Mcdougal Dr, Holdenville, OK 74848 Phone: 405-379-4200 Fax: 405-379-4252
Dr. Dillon Moore, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Mcdougal Dr, Holdenville, OK 74848 Phone: 405-379-4200
Mrs. Alicia Rose Gosey, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1011 N Hinkley St, Holdenville, OK 74848 Phone: 405-592-3500 Fax: 405-712-5115
Tami Dawn Barrett, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Mcdougal Dr, Holdenville, OK 74848 Phone: 405-379-4201

Mrs Katherine Denise Lynn Green, APRN - Medicare Nurse Practitioner in Holdenville, OK