Justin Fendell Green, LCSWA in Fayetteville, NC - Medicare Social Worker Provider

Justin Fendell Green, LCSWA is a medicare enrolled "Social Worker - Clinical" provider in Fayetteville, North Carolina. His current practice location is 2525 Raeford Rd Ste 2, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 835-6895.

Justin Fendell Green is licensed to practice in North Carolina (license number P016409) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497429856.

Contact Information

	Justin Fendell Green, LCSWA
	2525 Raeford Rd Ste 2, Fayetteville, NC 28305-5091
	(910) 835-6895
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Justin Fendell Green
Gender	Male
Speciality	Social Worker - Clinical
Location	2525 Raeford Rd Ste 2, Fayetteville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497429856
Provider Enumeration Date: 08/08/2021
Last Update Date: 08/08/2021

Medicare PECOS Information:

PECOS PAC ID: 2466988365
Enrollment ID: I20241214000317

Medical Identifiers

Medical identifiers for Justin Fendell Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497429856	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	P016409 (North Carolina)	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. Justin Fendell Green allows following entities to bill medicare on his behalf.

Entity Name	Integrated Behavioral Healthcare Services, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689842551 PECOS PAC ID: 8729040316 Enrollment ID: O20041027000101

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221208000188

Entity Name	Inspired By Change
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962182493 PECOS PAC ID: 1850820085 Enrollment ID: O20250131003516

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. Justin Fendell 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
Justin Fendell Green, LCSWA 6480 Kelmscot Ct, Fayetteville, NC 28303-5674 Ph: (910) 835-6895	Justin Fendell Green, LCSWA 2525 Raeford Rd Ste 2, Fayetteville, NC 28305-5091 Ph: (910) 835-6895

Reviews and Comments

Social Worker in Fayetteville, NC

Mrs. Maria Rivera, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3421 Murchison Rd, Fayetteville, NC 28311 Phone: 910-630-6300
Bryan Holliday, LCSWA, CSAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4602 Sterling St, Fayetteville, NC 28306 Phone: 910-551-8552
Mrs. Tracey B Natale, MSW, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6885 Cliffdale Rd Ste 202, Fayetteville, NC 28314 Phone: 910-339-0400 Fax: 910-339-0396
Laura Jackson, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6885 Cliffdale Rd Ste 202, Fayetteville, NC 28314 Phone: 910-339-0400 Fax: 910-339-0396
Ms. Mitchell Thompson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2300 Ramsey St, Fayetteville, NC 28301 Phone: 910-488-2120
Carl T Cogdell, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2300 Ramsey St, Fayetteville, NC 28301 Phone: 252-717-5043
Morgan Okorn, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 806 Hay St, Fayetteville, NC 28305 Phone: 910-860-7008 Fax: 910-221-9006

Justin Fendell Green, LCSWA - Medicare Clinical Social Worker in Fayetteville, NC