Mr Keith Green, MSW in Colorado Springs, CO - Medicare Clinical Social Worker Provider

Mr Keith Green, MSW is a medicare enrolled "Social Worker - Clinical" provider in Colorado Springs, Colorado. He graduated from healthcare school in 2003 and has 23 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Family Care Center Llc and his current practice location is 5540 N Academy Blvd Ste 210, Colorado Springs, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 632-5503.

Mr Keith Green is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730746637.

Contact Information

	Mr Keith Green, MSW
	5540 N Academy Blvd Ste 210, Colorado Springs, CO 80918-3696
	(719) 632-5503
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Keith Green
Gender	Male
Speciality	Clinical Social Worker
Experience	23 Years
Location	5540 N Academy Blvd Ste 210, Colorado Springs, Colorado
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Keith Green graduated from medical school in 2003

NPI Data:

NPI Number: 1730746637
Provider Enumeration Date: 05/26/2019
Last Update Date: 02/07/2025

Medicare PECOS Information:

PECOS PAC ID: 8527580117
Enrollment ID: I20250324002912

Medical Identifiers

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

Identifier	Type	State	Issuer
1730746637	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Family Care Center Llc	5991064420	670

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. Mr Keith Green allows following entities to bill medicare on his behalf.

Entity Name	Family Care Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790141984 PECOS PAC ID: 5991064420 Enrollment ID: O20180109000960

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. Mr Keith 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
Mr Keith Green, MSW 5540 N Academy Blvd Ste 210, Colorado Springs, CO 80918-3696 Ph: () -	Mr Keith Green, MSW 5540 N Academy Blvd Ste 210, Colorado Springs, CO 80918-3696 Ph: (719) 632-5503

Mr Keith Green, MSW - Medicare Counselor in Colorado Springs, CO