Tina Luanne Green, FNP-BC in Gaffney, SC - Medicare Nurse Practitioner

Tina Luanne Green, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Gaffney, South Carolina. Her current practice location is 104 Willis Plz, Gaffney, South Carolina. You can reach out to her office (for appointments etc.) via phone at (800) 792-9030.

Tina Luanne Green is licensed to practice in South Carolina (license number 21930) 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 1013476506.

Contact Information

	Tina Luanne Green, FNP-BC
	104 Willis Plz, Gaffney, SC 29341-1500
	(800) 792-9030
	Not Available

Map and Direction

Provider's Profile

Full Name	Tina Luanne Green
Gender	Female
Speciality	Nurse Practitioner - Family
Location	104 Willis Plz, Gaffney, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013476506
Provider Enumeration Date: 03/14/2019
Last Update Date: 03/14/2019

Medicare PECOS Information:

PECOS PAC ID: 0941625974
Enrollment ID: I20200806003777

Medical Identifiers

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

Identifier	Type	State	Issuer
1013476506	NPI	-	NPPES
21930	Other	SC	OFFICE DOES NOT ACCEPT INSURANCE, MEDICARE OR MEDICAID.

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	21930 (South Carolina)	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. Tina Luanne Green allows following entities to bill medicare on her behalf.

Entity Name	Alfred Randall Moss, M.d. P.a
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063697894 PECOS PAC ID: 3173436052 Enrollment ID: O20031107000187

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. Tina Luanne 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
Tina Luanne Green, FNP-BC 656 Sloan Rd, Lyman, SC 29365-9509 Ph: (864) 580-8000	Tina Luanne Green, FNP-BC 104 Willis Plz, Gaffney, SC 29341-1500 Ph: (800) 792-9030

Reviews and Comments

Nurse Practitioner Nurses in Gaffney, SC

Stacie Horne Young, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 139 Medical Center Dr, Gaffney, SC 29340 Phone: 864-487-7186 Fax: 864-487-7246
Ms. Valerie D Dendy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1530 N Limestone St, Gaffney, SC 29340 Phone: 864-487-4271
Mrs. Amanda Baynard Rodriguez, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1552 N Limestone St Ste C, Gaffney, SC 29340 Phone: 864-487-0155 Fax: 864-487-0924
Mr. Troy D. Mccurry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 517 Chesnee Hwy Ste A, Gaffney, SC 29341 Phone: 864-487-7655 Fax: 864-487-8718
Mrs. Dana Nicole Stanford, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1610 N Limestone St, Gaffney, SC 29340 Phone: 864-839-4325
Christy Petit, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 517 Chesnee Hwy, Ste A, Gaffney, SC 29341 Phone: 864-487-7655 Fax: 864-487-8717

Tina Luanne Green, FNP-BC - Medicare Nurse Practitioner in Gaffney, SC