Laura Green, LSW in Champaign, IL - Medicare Counselor Provider

Laura Green, LSW is a medicare enrolled "Counselor - Mental Health" provider in Champaign, Illinois. Her current practice location is 201 W Springfield Ave, Champaign, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 693-4918.

Laura Green is licensed to practice in * (Not Available) (license number ) 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 1003490673.

Contact Information

	Laura Green, LSW
	201 W Springfield Ave, Champaign, IL 61820-6385
	(217) 693-4918
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Laura Green
Gender	Female
Speciality	Counselor - Mental Health
Location	201 W Springfield Ave, Champaign, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003490673
Provider Enumeration Date: 05/10/2021
Last Update Date: 04/04/2023

Medicare PECOS Information:

PECOS PAC ID: 6901258193
Enrollment ID: I20240124000671

Medical Identifiers

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

Identifier	Type	State	Issuer
1003490673	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Laura Green allows following entities to bill medicare on her behalf.

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: O20220414000139

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. Laura 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
Laura Green, LSW 201 W Springfield Ave, Champaign, IL 61820-6385 Ph: () -	Laura Green, LSW 201 W Springfield Ave, Champaign, IL 61820-6385 Ph: (217) 693-4918

Reviews and Comments

Counselor in Champaign, IL

Staci Poe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 E Main St, Ste 406, Champaign, IL 61820 Phone: 217-398-9066 Fax: 217-398-9077
Marie Duffin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 701 Devonshire Dr Ste B16-18, Champaign, IL 61820 Phone: 217-531-2360
Jennifer Carleton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Devonshire Dr, Champaign, IL 61820 Phone: 217-904-3035
Rachel Cooper Brown, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 309 W Clark St, Champaign, IL 61820 Phone: 217-398-9066 Fax: 217-398-9077
Whitley Tate, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2104 Windsor Pl Ste A, Champaign, IL 61820 Phone: 217-552-1058 Fax: 855-848-7422
Ms. Johanna Hermina Willemse, BA, MHP Counselor Medicare: Medicare Enrolled Practice Location: 202 W Park Ave, Champaign, IL 61820 Phone: 217-373-2436

Laura Green, LSW - Medicare Counselor in Champaign, IL