Mrs Adrian Green, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Charlotte, North Carolina. She went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 2011 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Innovation Counseling Services and her current practice location is
9428 John Russell Rd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 281-8803.
Mrs Adrian Green is licensed to practice in North Carolina (license number C009299) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1811495120.
Healthcare Provider's Profile
| Full Name | Mrs Adrian Green |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 14 Years |
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| Location | 9428 John Russell Rd, Charlotte, North Carolina |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Adrian Green attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 2011
NPI Data:
- NPI Number: 1811495120
- Provider Enumeration Date: 02/01/2018
- Last Update Date: 02/06/2018
Medicare PECOS Information:
- PECOS PAC ID: 4082011820
- Enrollment ID: I20210923000794
Medical Identifiers
Medical identifiers for Mrs Adrian Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811495120 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | C009299 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C009299 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Innovation Counseling Services | 9830515535 | 4 |
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. Mrs Adrian Green allows following entities to bill medicare on her behalf.
| Entity Name | Innovation Counseling Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457993123
PECOS PAC ID: 9830515535
Enrollment ID: O20200812001224 |
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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. Mrs Adrian 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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Mrs Adrian Green, MSW, LCSW
9428 John Russell Rd,
Charlotte, NC 28215-7598
Ph: () - | Mrs Adrian Green, MSW, LCSW
9428 John Russell Rd,
Charlotte, NC 28215-7598
Ph: (704) 281-8803 |
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