Ms Jennifer Susan Green, FNP-BC in Farmington Hills, MI

Ms Jennifer Susan Green, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Farmington Hills, Michigan. Her current practice location is 28535 Lake Park Dr W, Farmington Hills, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 225-2826.

Ms Jennifer Susan Green is licensed to practice in Michigan (license number 4704144751) 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 1326339938.

Contact Information

	Ms Jennifer Susan Green, FNP-BC
	28535 Lake Park Dr W, Farmington Hills, MI 48331-4621
	(248) 225-2826
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Jennifer Susan Green
Gender	Female
Speciality	Nurse Practitioner - Family
Location	28535 Lake Park Dr W, Farmington Hills, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326339938
Provider Enumeration Date: 04/29/2011
Last Update Date: 03/08/2024

Medicare PECOS Information:

PECOS PAC ID: 5496932576
Enrollment ID: I20110527000490

Medical Identifiers

Medical identifiers for Ms Jennifer Susan Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326339938	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	4704144751 (Michigan)	Secondary
363LF0000X	Nurse Practitioner - Family	4704144751 (Michigan)	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 Jennifer Susan Green allows following entities to bill medicare on her behalf.

Entity Name	Michigan Healthcare Professionals Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295023547 PECOS PAC ID: 0345413258 Enrollment ID: O20111109000027

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 Jennifer Susan 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 Jennifer Susan Green, FNP-BC 28535 Lake Park Dr W, Farmington Hills, MI 48331-4621 Ph: (248) 225-2826	Ms Jennifer Susan Green, FNP-BC 28535 Lake Park Dr W, Farmington Hills, MI 48331-4621 Ph: (248) 225-2826

Reviews and Comments

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Ms Jennifer Susan Green, FNP-BC - Medicare Nurse Practitioner in Farmington Hills, MI