Ms Toni Green, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Suwanee, Georgia. Her current practice location is
155 Treadstone Overlook, Suwanee, Georgia. You can reach out to her office (for appointments etc.) via phone at
(313) 400-3879.
Ms Toni Green is licensed to practice in Georgia (license number RN170227) 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 1821457615.
Physician's Profile
Full Name | Ms Toni Green |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 155 Treadstone Overlook, Suwanee, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1821457615
- Provider Enumeration Date: 02/22/2016
- Last Update Date: 04/17/2019
Medicare PECOS Information:
- PECOS PAC ID: 4284923285
- Enrollment ID: I20160513001972
Medical Identifiers
Medical identifiers for Ms Toni Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821457615 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | RN170227 (Georgia) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | 4704241199 (Michigan) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN170227 (Georgia) | 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. Ms Toni Green allows following entities to bill medicare on her behalf.
Entity Name | Medical Director Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871955807 PECOS PAC ID: 0042501116 Enrollment ID: O20211203000565 |
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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. Ms Toni 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 |
Ms Toni Green, NP 155 Treadstone Overlook, Suwanee, GA 30024-1529 Ph: (313) 404-3879 | Ms Toni Green, NP 155 Treadstone Overlook, Suwanee, GA 30024-1529 Ph: (313) 400-3879 |
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