Ms Angela R Green, NP in Shelbyville, IN - Medicare Nurse Practitioner

Ms Angela R Green, NP is a medicare enrolled "Nurse Practitioner - Family" in Shelbyville, Indiana. Her current practice location is 2158 Intelliplex Dr, Suite 200, Shelbyville, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 392-3651.

Ms Angela R Green is licensed to practice in Indiana (license number 71000510A) 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 1174690713.

Contact Information

	Ms Angela R Green, NP
	2158 Intelliplex Dr, Suite 200, Shelbyville, IN 46176-8897
	(317) 392-3651
	(317) 398-0538

Map and Direction

Provider's Profile

Full Name	Ms Angela R Green
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2158 Intelliplex Dr, Shelbyville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174690713
Provider Enumeration Date: 11/29/2006
Last Update Date: 07/14/2022

Medicare PECOS Information:

PECOS PAC ID: 5698866655
Enrollment ID: I20070806000084

Medical Identifiers

Medical identifiers for Ms Angela R Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174690713	NPI	-	NPPES
200221890	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71000510 (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71000510A (Indiana)	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. Ms Angela R Green allows following entities to bill medicare on her behalf.

Entity Name	Hancock Regional Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255418356 PECOS PAC ID: 1850205162 Enrollment ID: O20040401000258

Entity Name	Indiana University Health Southern Indiana Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556

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. Ms Angela R 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
Ms Angela R Green, NP 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Ms Angela R Green, NP 2158 Intelliplex Dr, Suite 200, Shelbyville, IN 46176-8897 Ph: (317) 392-3651

Reviews and Comments

Nurse Practitioner Nurses in Shelbyville, IN

Ann Elizabeth Klosterkemper, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2158 Intelliplex Dr Ste 100, Shelbyville, IN 46176 Phone: 174-211-9803 Fax: 317-398-1822
Tamara Reed, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 Intelliplex Dr Ste 260, Shelbyville, IN 46176 Phone: 317-398-0121 Fax: 317-398-0538
Mrs. Leann Michelle Toliver, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2455 Intelliplex Dr, Shelbyville, IN 46176 Phone: 317-392-3211
Mary A Wentzel, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 Intelliplex Dr Ste 220, Shelbyville, IN 46176 Phone: 317-893-1900 Fax: 317-398-1849
Karen Patterson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 Intelliplex Dr, Suite 200, Shelbyville, IN 46176 Phone: 317-398-0193
Mrs. Regina Sue Kuhn, MSN APRN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 W Rampart St Ste 250, Shelbyville, IN 46176 Phone: 317-398-7644
Mr. Andrew Maroska, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2451 Intelliplex Dr, Shelbyville, IN 46176 Phone: 317-392-3211 Fax: 317-398-1814

Ms Angela R Green, NP - Medicare Nurse Practitioner in Shelbyville, IN