Renee Michele Green, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Hopewell, Virginia. She graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Virginia South Psychiatric And Family Services and her current practice location is
207 N 4th Ave, Hopewell, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 541-0918.
Renee Michele Green is licensed to practice in Virginia (license number 0810007347) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1457930976.
Healthcare Provider's Profile
| Full Name | Renee Michele Green |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 8 Years |
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| Location | 207 N 4th Ave, Hopewell, Virginia |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Renee Michele Green graduated from medical school in 2016
NPI Data:
- NPI Number: 1457930976
- Provider Enumeration Date: 04/02/2021
- Last Update Date: 04/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 2163822263
- Enrollment ID: I20210610003013
Medical Identifiers
Medical identifiers for Renee Michele Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457930976 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 0810007347 (Pennsylvania) | Secondary |
| 103TC0700X | Psychologist - Clinical | 0810007347 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Virginia South Psychiatric And Family Services | 3476443797 | 34 |
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. Renee Michele Green allows following entities to bill medicare on her behalf.
| Entity Name | Virginia South Psychiatric & Family Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700894466
PECOS PAC ID: 3476443797
Enrollment ID: O20040318001272 |
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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. Renee Michele 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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Renee Michele Green, PSYD
269 Medical Park Blvd,
Petersburg, VA 23805-9337
Ph: (804) 861-0700 | Renee Michele Green, PSYD
207 N 4th Ave,
Hopewell, VA 23860-2503
Ph: (804) 541-0918 |
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