Randall Green, OT in Clarkston, MI - Medicare Occupational Therapist Provider

Randall Green, OT is a medicare enrolled "Occupational Therapist" provider in Clarkston, Michigan. His current practice location is 7508 M E Cad Blvd, Suite A, Clarkston, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 922-9200.

Randall Green is licensed to practice in Michigan (license number 5201005754) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477723740.

Contact Information

	Randall Green, OT
	7508 M E Cad Blvd, Suite A, Clarkston, MI 48348-4281
	(248) 922-9200
	(248) 922-9700

Map and Direction

Healthcare Provider's Profile

Full Name	Randall Green
Gender	Male
Speciality	Occupational Therapist
Location	7508 M E Cad Blvd, Clarkston, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477723740
Provider Enumeration Date: 03/03/2008
Last Update Date: 03/03/2008

Medicare PECOS Information:

PECOS PAC ID: 9133102239
Enrollment ID: I20040610000279

Medical Identifiers

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

Identifier	Type	State	Issuer
1477723740	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	5201005754 (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. Randall Green allows following entities to bill medicare on his behalf.

Provider Name	Nrmi Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1760129365 PECOS PAC ID: 9436545712 Enrollment ID: O20220523000714

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. Randall 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
Randall Green, OT 7508 M E Cad Blvd, Suite A, Clarkston, MI 48348-4281 Ph: (248) 922-9200	Randall Green, OT 7508 M E Cad Blvd, Suite A, Clarkston, MI 48348-4281 Ph: (248) 922-9200

Reviews and Comments

Occupational Therapist in Clarkston, MI

Joan Kimber, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3604 Clarkston Rd, Clarkston, MI 48348 Phone: 810-394-7188
Mrs. Dawn Louise Pelino, OTR, CHT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 5825 S Main St, Suite 103, Clarkston, MI 48346 Phone: 248-620-8980 Fax: 248-620-9397
Dana Becker, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7508 M E Cad Blvd Ste A, Clarkston, MI 48348 Phone: 248-939-7775
Carolyn Siler, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7508 M E Cad Blvd, Suite A, Clarkston, MI 48348 Phone: 248-922-9200 Fax: 248-922-9700
Michelle Dicea, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4628 Clinton Dr, Clarkston, MI 48346 Phone: 248-872-7037
Constance Brock, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7508 M E Cad Blvd, Ste A, Clarkston, MI 48348 Phone: 248-922-9200 Fax: 248-922-9700
Mrs. Rachelle Lynn Sowinski, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7508 M E Cad Blvd Ste A, Clarkston, MI 48348 Phone: 248-922-9200 Fax: 248-922-9700

Randall Green, OT - Medicare Occupational Therapist in Clarkston, MI