Melissa Green, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lakeside, Arizona. Her current practice location is
5080 Mogollon Rim Dr, Lakeside, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 297-5926.
Melissa Green is licensed to practice in Arizona (license number RN156511) 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 1144258989.
Provider's Profile
| Full Name | Melissa Green |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 5080 Mogollon Rim Dr, Lakeside, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1144258989
- Provider Enumeration Date: 06/29/2006
- Last Update Date: 11/02/2011
Medicare PECOS Information:
- PECOS PAC ID: 9436100989
- Enrollment ID: I20090311000690
Medical Identifiers
Medical identifiers for Melissa Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144258989 | NPI | - | NPPES |
| Z142693 | Other | AZ | MEDICARE PROVIDER |
| 200513500 | Medicaid | IN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN156511 (Arizona) | 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. Melissa Green allows following entities to bill medicare on her behalf.
| Entity Name | Northeastern Anesthesia Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487956504
PECOS PAC ID: 4284813940
Enrollment ID: O20110126001051 |
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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. Melissa 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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Melissa Green, CRNA
5080 Mogollon Rim Dr,
Lakeside, AZ 85929-5530
Ph: (480) 297-5926 | Melissa Green, CRNA
5080 Mogollon Rim Dr,
Lakeside, AZ 85929-5530
Ph: (480) 297-5926 |
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