Dallis Louis Green, MD in Suffolk, VA

Dallis Louis Green, MD is a medicare enrolled "Surgery" physician in Suffolk, Virginia. His current practice location is 1531 Olde Mill Creek Dr, Suffolk, Virginia. You can reach out to his office (for appointments etc.) via phone at (504) 858-6857.

Dallis Louis Green is licensed to practice in Virginia (license number N/A) 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 1386806479.

Contact Information

	Dallis Louis Green, MD
	1531 Olde Mill Creek Dr, Suffolk, VA 23434-2320
	(504) 858-6857
	Not Available

Map and Direction

Physician's Profile

Full Name	Dallis Louis Green
Gender	Male
Speciality	Surgery
Location	1531 Olde Mill Creek Dr, Suffolk, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386806479
Provider Enumeration Date: 06/30/2008
Last Update Date: 04/07/2022

Medicare PECOS Information:

PECOS PAC ID: 2961742242
Enrollment ID: I20231006001263

Medical Identifiers

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

Identifier	Type	State	Issuer
1386806479	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	N/A (Virginia)	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. Dallis Louis Green allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002247

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. Dallis Louis 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
Dallis Louis Green, MD 1431 W Nine Mile Rd Unit 11304, Pensacola, FL 32534-5373 Ph: (850) 529-5542	Dallis Louis Green, MD 1531 Olde Mill Creek Dr, Suffolk, VA 23434-2320 Ph: (504) 858-6857

Reviews and Comments

Surgery Doctors in Suffolk, VA

Dr. Michael Clarence Blake, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2790 Godwin Blvd, Ste 305, Suffolk, VA 23434 Phone: 757-934-4222 Fax: 757-934-4111
Dr. Chad M Mckenzie, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5818 Harbour View Blvd, Ste 240, Suffolk, VA 23435 Phone: 757-397-2383 Fax: 757-397-5201
Claude Matthew Mcbee, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 150 Burnetts Way, Suite 200, Suffolk, VA 23434 Phone: 757-539-7824 Fax: 757-538-9474
Dr. Charles Pierre Williams, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 5838 Harbour View Blvd, Suite 240, Suffolk, VA 23435 Phone: 757-483-3030
Dr. James Graham Bittner Iv, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2790 Godwin Blvd Ste 305, Suffolk, VA 23434 Phone: 757-934-4222 Fax: 757-934-4111
Eugene Y Chang, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 5838 Harbour View Blvd, Suite 240, Suffolk, VA 23435 Phone: 757-541-1950 Fax: 757-541-1987
Dr. Carlos Javier Glanville Miranda, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2790 Godwin Blvd Ste 305, Suffolk, VA 23434 Phone: 757-931-4222 Fax: 757-934-4111

Dallis Louis Green, MD - Medicare Surgery in Suffolk, VA