Andrew Green, DPT in Southlake, TX - Medicare Physical Therapist Provider

Andrew Green, DPT is a medicare enrolled "Physical Therapist" provider in Southlake, Texas. His current practice location is 245 West Hwy 114, Southlake, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 873-5311.

Andrew Green is licensed to practice in Texas (license number ) 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 1336825884.

Contact Information

	Andrew Green, DPT
	245 West Hwy 114, Southlake, TX 76092
	(817) 873-5311
	(817) 601-7702

Map and Direction

Healthcare Provider's Profile

Full Name	Andrew Green
Gender	Male
Speciality	Physical Therapist
Location	245 West Hwy 114, Southlake, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336825884
Provider Enumeration Date: 06/27/2023
Last Update Date: 09/13/2024

Medicare PECOS Information:

PECOS PAC ID: 6507210747
Enrollment ID: I20230921003957

Medical Identifiers

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

Identifier	Type	State	Issuer
1336825884	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT031267 (Pennsylvania)	Secondary
225100000X	Physical Therapist	(Texas)	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. Andrew Green allows following entities to bill medicare on his behalf.

Provider Name	Jamies Physical Therapy And Sports Medicine Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1528364221 PECOS PAC ID: 2668655754 Enrollment ID: O20110328000393

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. Andrew 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
Andrew Green, DPT 790 Remington Blvd, Bolingbrook, IL 60440-4909 Ph: () -	Andrew Green, DPT 245 West Hwy 114, Southlake, TX 76092 Ph: (817) 873-5311

Reviews and Comments

Physical Therapist in Southlake, TX

Erin Goebel, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1545 E Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 817-442-9300 Fax: 817-416-0108
Mrs. Lisa Alice Redding, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1940 E State Highway 114, Suite 150, Southlake, TX 76092 Phone: 817-424-3668 Fax: 817-442-8637
Whitney Holmans, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1545 E Southlake Blvd, Suite 100, Southlake, TX 76092 Phone: 817-442-9300 Fax: 682-651-1909
Jennifer Merimonti, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Watermere Dr., Southlake, TX 76092 Phone: 817-431-8668
Kara Edgerton, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2813 W Southlake Blvd, Suite 110, Southlake, TX 76092 Phone: 817-310-8780 Fax: 817-310-8781
Raphael Augustus Sadiwa, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 180 State St Ste 225, Southlake, TX 76092 Phone: 866-839-6979
Theresa J Adame-brooks, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1545 E Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 817-442-9300 Fax: 817-416-0108

Andrew Green, DPT - Medicare Physical Therapist in Southlake, TX