Traci Duncan Green, MPT is a medicare enrolled "Physical Therapist" provider in Valparaiso, Florida. Her current practice location is
424 College Blvd., Valparaiso, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 378-2600.
Traci Duncan Green is licensed to practice in Florida (license number PT16099) 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 1316254477.
Healthcare Provider's Profile
| Full Name | Traci Duncan Green |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 424 College Blvd., Valparaiso, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316254477
- Provider Enumeration Date: 09/09/2010
- Last Update Date: 11/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 4486046638
- Enrollment ID: I20220119003143
Medical Identifiers
Medical identifiers for Traci Duncan Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316254477 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT16099 (Florida) | 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. Traci Duncan Green allows following entities to bill medicare on her behalf.
| Provider Name | Coastal Pt |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1679236806
PECOS PAC ID: 5496147647
Enrollment ID: O20220119003056 |
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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. Traci Duncan 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 |
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Traci Duncan Green, MPT
6021 Sterling River Way,
Niceville, FL 32578
Ph: (850) 378-2600 | Traci Duncan Green, MPT
424 College Blvd.,
Valparaiso, FL 32580
Ph: (850) 378-2600 |
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