Mr Wallace Maxwell Green, PAC - Psychiatry & Neurology in Fayetteville, GA

Mr Wallace Maxwell Green, PAC is a Psychiatry & Neurology - Neurology physician based in Fayetteville, Georgia. Mr Wallace Maxwell Green is licensed to practice in Georgia (license number 001827) and his current practice location is 1275 Highway 54 W, Ste.105, Fayetteville, Georgia. He can be reached at his office (for appointments etc.) via phone at (770) 719-2965.

NPI number for Mr Wallace Maxwell Green is 1306979059 and his current mailing address is 1275 Highway 54 W, Ste.105, Fayetteville, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1306979059.

Contact Information

Mr Wallace Maxwell Green, PAC
1275 Highway 54 W, Ste.105,
Fayetteville, GA 30214-4549
(770) 719-2965
(770) 719-2963

Map and Direction




Physician's Profile

Full NameMr Wallace Maxwell Green
GenderMale
SpecialityPsychiatry & Neurology - Neurology
Location1275 Highway 54 W, Fayetteville, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1306979059
  • Provider Enumeration Date: 03/13/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Wallace Maxwell Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306979059NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology 001827 (Georgia)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. Mr Wallace Maxwell 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
Mr Wallace Maxwell Green, PAC
1275 Highway 54 W, Ste.105,
Fayetteville, GA 30214-4549

Ph: (770) 719-2965
Mr Wallace Maxwell Green, PAC
1275 Highway 54 W, Ste.105,
Fayetteville, GA 30214-4549

Ph: (770) 719-2965

Reviews and Comments


Psychiatry & Neurology Doctors in Fayetteville, GA

Evan Mccarroll Johnson, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 1265 Highway 54 W Ste 500d, Fayetteville, GA 30214
Phone: 770-506-5410    
Gary Bruce Lebendiger, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 115 Habersham Dr, Fayetteville, GA 30214
Phone: 770-461-9944    Fax: 770-461-9779
Shaw Wendi Fortuchang, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 110 N Park Dr, Fayetteville, GA 30214
Phone: 770-376-6726    Fax: 770-376-6727
Dr. Olufemi Abiodun Taiwo, M.D
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 110 Braxton Ct, Fayetteville, GA 30214
Phone: 678-610-7100    Fax: 678-610-7111
Dr. Ana Maria Cuebas, M.D
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 715 Bradley Dr, Fayetteville, GA 30214
Phone: 770-358-5252    
Mr. Virendra V Ranadive, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 115 Sumner Rd Fl 2, Fayetteville, GA 30214
Phone: 770-716-1562    Fax: 770-716-0145

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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