Ashley Green, PA-C, RD, LD/N - Medicare in Lake Mary, FL

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Ashley Green, PA-C, RD, LD/N is a medicare enrolled "Physician Assistant" provider in Lake Mary, Florida. Her current practice location is 1301 S International Pkwy Ste 1041, Lake Mary, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 732-7668.

Ashley Green is licensed to practice in Florida (license number PA9113579) 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 1205443728.

Contact Information

Ashley Green, PA-C, RD, LD/N
1301 S International Pkwy Ste 1041,
Lake Mary, FL 32746-1410
(407) 732-7668
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAshley Green
GenderFemale
SpecialityPhysician Assistant
Location1301 S International Pkwy Ste 1041, Lake Mary, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205443728
  • Provider Enumeration Date: 09/29/2020
  • Last Update Date: 04/07/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8022425693
  • Enrollment ID: I20210326000451

Medical Identifiers

Medical identifiers for Ashley Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205443728NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered ND7124 (Florida)Secondary
363A00000XPhysician Assistant PA9113579 (Florida)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. Ashley Green allows following entities to bill medicare on her behalf.
Provider NameCentral Florida Family Health Center, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1740251883
PECOS PAC ID: 3870519234
Enrollment ID: O20051015000027
Provider NameWest Volusia Family and Sports Medicine Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1548584600
PECOS PAC ID: 1456483098
Enrollment ID: O20100719000256

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. Ashley 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
Ashley Green, PA-C, RD, LD/N
3675 Simonton Pl,
Lake Mary, FL 32746-6752

Ph: (772) 834-7342		Ashley Green, PA-C, RD, LD/N
1301 S International Pkwy Ste 1041,
Lake Mary, FL 32746-1410

Ph: (407) 732-7668

Reviews and Comments



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.