Bernard L Green, PH D - Psychologist in Appleton, WI

Bernard L Green, PH D is a Psychologist based in Appleton, Wisconsin. Bernard L Green is licensed to practice in Wisconsin (license number 1272) and his current practice location is 1531 S Madison St, Appleton, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (920) 730-4411.

NPI number for Bernard L Green is 1508850595 and his current mailing address is 1531 S Madison St, Appleton, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508850595.

Contact Information

Bernard L Green, PH D
1531 S Madison St,
Appleton, WI 54915-1800
(920) 730-4411
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameBernard L Green
GenderMale
SpecialityPsychologist
Location1531 S Madison St, Appleton, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1508850595
  • Provider Enumeration Date: 09/06/2005
  • Last Update Date: 09/02/2008

Medical Identifiers

Medical identifiers for Bernard L Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508850595NPI-NPPES
39042200MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 1272 (Wisconsin)Primary

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. Bernard L Green is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bernard L Green, PH D
1531 S Madison St,
Appleton, WI 54915-1800

Ph: (920) 730-4411
Bernard L Green, PH D
1531 S Madison St,
Appleton, WI 54915-1800

Ph: (920) 730-4411

Reviews and Comments


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