Shellie A Green, in Watertown, NY - Medicare Nurse Practitioner

Shellie A Green, is a medicare enrolled "Nurse Practitioner - Family" in Watertown, New York. She went to State University Of Ny Upstate Medical University and graduated in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Samaritan Medical Center and her current practice location is 160 Stone St, Watertown, New York. You can reach out to her office (for appointments etc.) via phone at (585) 371-8373.

Shellie A Green is licensed to practice in New York (license number F346037-1) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124636113.

Contact Information

	Shellie A Green,
	160 Stone St, Watertown, NY 13601-3250
	(585) 371-8373
	(315) 222-7435

Map and Direction

Provider's Profile

Full Name	Shellie A Green
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	160 Stone St, Watertown, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shellie A Green attended and graduated from State University Of Ny Upstate Medical University in 2020

NPI Data:

NPI Number: 1124636113
Provider Enumeration Date: 07/16/2020
Last Update Date: 07/17/2020

Medicare PECOS Information:

PECOS PAC ID: 1951729359
Enrollment ID: I20200917000293

Medical Identifiers

Medical identifiers for Shellie A Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124636113	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F346037-1 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Samaritan Medical Center	Watertown, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Samaritan Medical Center	8123914876	124

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. Shellie A Green allows following entities to bill medicare on her behalf.

Entity Name	Samaritan Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598713745 PECOS PAC ID: 8123914876 Enrollment ID: O20040227000525

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. Shellie A 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
Shellie A Green, 2697 Main St, Buffalo, NY 14214-1701 Ph: (585) 371-8373	Shellie A Green, 160 Stone St, Watertown, NY 13601-3250 Ph: (585) 371-8373

Reviews and Comments

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Shellie A Green, - Medicare Nurse Practitioner in Watertown, NY