Roderick Green, PMHNP in Jackson, MS - Medicare Nurse Practitioner

Roderick Green, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Jackson, Mississippi. He graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Precise Clinical Neuroscience Specialists and his current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 815-5815.

Roderick Green is licensed to practice in Mississippi (license number R828349) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235472697.

Contact Information

	Roderick Green, PMHNP
	2500 N State St, Jackson, MS 39216-4500
	(601) 815-5815
	(601) 984-5842

Map and Direction

Provider's Profile

Full Name	Roderick Green
Gender	Male
Speciality	Nurse Practitioner
Experience	13 Years
Location	2500 N State St, Jackson, Mississippi
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Roderick Green graduated from nursing school in 2012

NPI Data:

NPI Number: 1235472697
Provider Enumeration Date: 04/03/2013
Last Update Date: 07/29/2015

Medicare PECOS Information:

PECOS PAC ID: 7810115029
Enrollment ID: I20140902000316

Medical Identifiers

Medical identifiers for Roderick Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235472697	NPI	-	NPPES
09282029	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R828349 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Merit Health Central	Jackson, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Precise Clinical Neuroscience Specialists	4880737626	21

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. Roderick Green allows following entities to bill medicare on his behalf.

Entity Name	Region 12 Commission On Mental Health & Retardation Pine Belt Men
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982610572 PECOS PAC ID: 3971561747 Enrollment ID: O20041227000393

Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

Entity Name	Precise Clinical Neuroscience Specialists
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770717449 PECOS PAC ID: 4880737626 Enrollment ID: O20100202000870

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. Roderick 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
Roderick Green, PMHNP 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-5815	Roderick Green, PMHNP 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 815-5815

Reviews and Comments

Nurse Practitioner Nurses in Jackson, MS

Jennifer Nichols Foreman, A-GNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-5657
Susan B Patterson, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 Marshall St, Ste 104, Jackson, MS 39202 Phone: 601-969-6404 Fax: 601-973-4541
Caryl P. Sumrall, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6311 Ridgewood Rd, Jackson, MS 39211 Phone: 601-952-8398 Fax: 833-972-5586
Kathryn L. Navarro, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 904-805-1300 Fax: 904-805-1302
Mr. Bradford Steele Martin, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Department Of Orthopedics, Jackson, MS 39216 Phone: 601-815-3045
Emily Brumfield, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 North State Street, Jackson, MS 39216 Phone: 601-984-5500 Fax: 601-984-5503
Mrs. Tiffany Griffin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3450 Highway 80 West, Jackson, MS 39209 Phone: 601-321-2400

Roderick Green, PMHNP - Medicare Nurse Practitioner in Jackson, MS