Amy Green, DPT in Vicksburg, MS - Medicare Physical Therapist Provider

Amy Green, DPT is a medicare enrolled "Physical Therapist" provider in Vicksburg, Mississippi. Her current practice location is 1901-a Mission 66, Vicksburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 638-4076.

Amy Green is licensed to practice in Mississippi (license number PT4965) 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 1306263793.

Contact Information

	Amy Green, DPT
	1901-a Mission 66, Vicksburg, MS 39180
	(601) 638-4076
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amy Green
Gender	Female
Speciality	Physical Therapist
Location	1901-a Mission 66, Vicksburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306263793
Provider Enumeration Date: 03/24/2014
Last Update Date: 03/24/2014

Medicare PECOS Information:

PECOS PAC ID: 9133505845
Enrollment ID: I20221004001848

Medical Identifiers

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

Identifier	Type	State	Issuer
1306263793	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT4965 (Mississippi)	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. Amy Green allows following entities to bill medicare on her behalf.

Provider Name	Creative Health Care Management Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1508538810 PECOS PAC ID: 4385929892 Enrollment ID: O20211102003279

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. Amy 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
Amy Green, DPT Po Box 822394, Vicksburg, MS 39182-2394 Ph: () -	Amy Green, DPT 1901-a Mission 66, Vicksburg, MS 39180 Ph: (601) 638-4076

Reviews and Comments

Physical Therapist in Vicksburg, MS

Covenant Health & Rehab Of Vicksburg, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2850 Porters Chapel Rd, Vicksburg, MS 39180 Phone: 601-638-9211 Fax: 601-636-4986
Laura Jeanne Briggs, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901-a Mission 66, Vicksburg, MS 39180 Phone: 601-638-4076 Fax: 601-638-4979
United Rehab Associates, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1990 S Frontage Rd Ste J, Vicksburg, MS 39180 Phone: 601-883-1983 Fax: 601-883-1938
Douglas Hohman, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901a Mission 66, Vicksburg, MS 39180 Phone: 601-634-4076 Fax: 601-883-2232
Virginia Wilson Duke, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901a Mission 66, Vicksburg, MS 39180 Phone: 601-634-4076 Fax: 601-883-2232
Mrs. Sandra K Raines, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1901a Mission 66, Vicksburg, MS 39180 Phone: 601-638-5518
Matthew S Buntyn, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2480 S Frontage Rd Ste F, Vicksburg, MS 39180 Phone: 601-757-9799

Amy Green, DPT - Medicare Physical Therapist in Vicksburg, MS