Dr Kathy J Green, MD, MPH in Niceville, FL

Dr Kathy J Green, MD, MPH is a medicare enrolled "Family Medicine" physician in Niceville, Florida. Her current practice location is 4586 E Highway 20, Suite B, Niceville, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 897-3200.

Dr Kathy J Green is licensed to practice in Florida (license number ME 118195) 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 1053464065.

Contact Information

	Dr Kathy J Green, MD, MPH
	4586 E Highway 20, Suite B, Niceville, FL 32578-9724
	(850) 897-3200
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kathy J Green
Gender	Female
Speciality	Family Medicine
Location	4586 E Highway 20, Niceville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053464065
Provider Enumeration Date: 01/21/2007
Last Update Date: 02/05/2016

Medicare PECOS Information:

PECOS PAC ID: 1850516527
Enrollment ID: I20160328000782

Medical Identifiers

Medical identifiers for Dr Kathy J Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053464065	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME 118195 (Florida)	Primary
2083P0901X	Preventive Medicine - Public Health & General Preventive Medicine	ME 118195 (Florida)	Secondary

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. Dr Kathy J Green allows following entities to bill medicare on her behalf.

Entity Name	Sacred Heart Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962453308 PECOS PAC ID: 3779491386 Enrollment ID: O20051015000049

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. Dr Kathy J 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
Dr Kathy J Green, MD, MPH Po Box 2699, Pensacola, FL 32513-2699 Ph: (850) 897-3200	Dr Kathy J Green, MD, MPH 4586 E Highway 20, Suite B, Niceville, FL 32578-9724 Ph: (850) 897-3200

Reviews and Comments

Family Medicine Doctors in Niceville, FL

Ms. Julie Anne Staats, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 Partin Dr N, Ste 120, Niceville, FL 32578 Phone: 850-279-3040
Steven Lester Clark, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4586 E Highway 20, Suite B, Niceville, FL 32578 Phone: 850-897-3200 Fax: 850-897-2353
Dr. Pat Thomas Tidwell, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4400 E Highway 20 Ste 203, Niceville, FL 32578 Phone: 850-897-3678 Fax: 850-373-4544
Dr. Allan L. Fedosky, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 4554 E Highway 20, Niceville, FL 32578 Phone: 850-897-1824 Fax: 850-897-1827
Wayne P Justice, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1003 College Blvd W, Ste 2, Niceville, FL 32578 Phone: 850-678-0443 Fax: 850-678-7999
Dr. Mark Steven Harber, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 John Sims Pkwy E, Niceville, FL 32578 Phone: 850-729-8050

Dr Kathy J Green, MD, MPH - Medicare Family Medicine in Niceville, FL