Taylor Ann Green, in La Porte, IN - Medicare Nurse Practitioner

Taylor Ann Green, is a medicare enrolled "Nurse Practitioner - Pediatrics" in La Porte, Indiana. Her current practice location is 1509 State Street, La Porte, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 324-3431.

Taylor Ann Green is licensed to practice in Indiana (license number 71014069A) 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 1770366825.

Contact Information

	Taylor Ann Green,
	1509 State Street, La Porte, IN 46350
	(219) 324-3431
	Not Available

Map and Direction

Provider's Profile

Full Name	Taylor Ann Green
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	1509 State Street, La Porte, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770366825
Provider Enumeration Date: 08/14/2023
Last Update Date: 08/14/2023

Medicare PECOS Information:

PECOS PAC ID: 6709230857
Enrollment ID: I20230925000614

Medical Identifiers

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

Identifier	Type	State	Issuer
1770366825	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	71014069A (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. Taylor Ann Green allows following entities to bill medicare on her behalf.

Entity Name	La Porte Clinic Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568829224 PECOS PAC ID: 0446558357 Enrollment ID: O20160408001751

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. Taylor Ann 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
Taylor Ann Green, 14130 Heritage Way, Cedar Lake, IN 46303-7297 Ph: (219) 798-1680	Taylor Ann Green, 1509 State Street, La Porte, IN 46350 Ph: (219) 324-3431

Reviews and Comments

Nurse Practitioner Nurses in La Porte, IN

Mrs. Jennifer Campbell, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1509 State Street, La Porte, IN 46350 Phone: 219-324-3431 Fax: 219-362-3802
Tami Clinkenbeard, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 Newporte Blvd, La Porte, IN 46350 Phone: 219-326-1775 Fax: 219-326-1951
Kimberly Minich, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 602 F St, La Porte, IN 46350 Phone: 219-324-1377
April Donald, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 204 Legacy Plz W, La Porte, IN 46350 Phone: 219-476-7246
Mrs. Tina Marie Pierce, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 809 Jefferson Ave, La Porte, IN 46350 Phone: 219-878-5645
Sandra R Gates-manna, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1509 State St, La Porte, IN 46350 Phone: 219-325-5434 Fax: 219-325-7655
Diane E Spoljoric, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6916 W Johnson Rd, La Porte, IN 46350 Phone: 219-326-7337 Fax: 219-814-4228

Taylor Ann Green, - Medicare Nurse Practitioner in La Porte, IN