Dr Gordon Keith Green, DDS - Medicare Dentist in Lyons, IN

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Dr Gordon Keith Green, DDS is a medicare enrolled "Dentist - General Practice" provider in Lyons, Indiana. His current practice location is 147 E Broad St, Lyons, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 659-2111.

Dr Gordon Keith Green is licensed to practice in Indiana (license number 7342) 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 1265450464.

Contact Information

Dr Gordon Keith Green, DDS
147 E Broad St,
Lyons, IN 47443-9502
(812) 659-2111
(812) 659-2808

Map and Direction




Healthcare Provider's Profile

Full NameDr Gordon Keith Green
GenderMale
SpecialityDentist - General Practice
Location147 E Broad St, Lyons, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265450464
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 12/17/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 0042535031
  • Enrollment ID: I20150216000544

Medical Identifiers

Medical identifiers for Dr Gordon Keith Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265450464NPI-NPPES
100124690AMedicaidIN
457474OtherINUNITED CONCORDIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 7342 (Indiana)Primary

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. Dr Gordon 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 AddressPractice Location Address
Dr Gordon Keith Green, DDS
P O Box 501, 147 East Broad St,
Lyons, IN 47443-9502

Ph: (812) 659-2111		Dr Gordon Keith Green, DDS
147 E Broad St,
Lyons, IN 47443-9502

Ph: (812) 659-2111

Reviews and Comments


Dentist in Lyons, IN

Dr. Brooks Andrew Green, D.D.S
Dentist
Medicare: Medicare Enrolled
Practice Location: 147 E Broad St, Lyons, IN 47443
Phone: 812-659-2111    
Dr. Scott W Powers, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 195 E Broad St, Lyons, IN 47443
Phone: 812-659-3901    Fax: 812-659-3903
Dr. Linda C Powers, D.D.S., M.S.D
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 195 E Broad St # 236, Lyons, IN 47443
Phone: 812-659-9100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.