Stacy Jo Green, CRNP - Medicare Nurse Practitioner in Edinboro, PA

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Stacy Jo Green, CRNP is a medicare enrolled "Nurse Practitioner" in Edinboro, Pennsylvania. Her current practice location is 120 Washington Towne Blvd N, Edinboro, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 877-7500.

Stacy Jo Green is licensed to practice in Pennsylvania (license number SP010692) 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 1437481074.

Contact Information

Stacy Jo Green, CRNP
120 Washington Towne Blvd N,
Edinboro, PA 16412-1254
(814) 877-7500
(814) 877-7510

Map and Direction




Provider's Profile

Full NameStacy Jo Green
GenderFemale
SpecialityNurse Practitioner
Location120 Washington Towne Blvd N, Edinboro, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437481074
  • Provider Enumeration Date: 02/08/2010
  • Last Update Date: 08/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1557497575
  • Enrollment ID: I20100330000263

Medical Identifiers

Medical identifiers for Stacy Jo Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437481074NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner SP010692 (Pennsylvania)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. Stacy Jo Green allows following entities to bill medicare on her behalf.
Entity NameRegional Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174520654
PECOS PAC ID: 4880593722
Enrollment ID: O20040108000694

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. Stacy Jo 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 AddressPractice Location Address
Stacy Jo Green, CRNP
120 Washington Towne Blvd N,
Edinboro, PA 16412-1254

Ph: (814) 877-7500		Stacy Jo Green, CRNP
120 Washington Towne Blvd N,
Edinboro, PA 16412-1254

Ph: (814) 877-7500

Reviews and Comments


Nurse Practitioner Nurses in Edinboro, PA

Christopher Conn,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 120 Washington Towne Blvd N, Edinboro, PA 16412
Phone: 814-877-7500    
Danielle M Cavalieri,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 118 E Plum St, Edinboro, PA 16412
Phone: 814-734-7600    Fax: 814-734-4312
Christine F Higley, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 450 Erie St, Edinboro, PA 16412
Phone: 814-734-1618    Fax: 814-734-3102

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.