Kelly M Green, RD in Bowie, MD - Medicare Dietitian, Registered Provider

Kelly M Green, RD is a medicare enrolled "Dietitian, Registered" provider in Bowie, Maryland. Her current practice location is 12201 Stanfield Ct, Bowie, Maryland. You can reach out to her office (for appointments etc.) via phone at (301) 741-9380.

Kelly M Green is licensed to practice in * (Not Available) (license number 86109842) 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 1013533728.

Contact Information

	Kelly M Green, RD
	12201 Stanfield Ct, Bowie, MD 20720-4439
	(301) 741-9380
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly M Green
Gender	Female
Speciality	Dietitian, Registered
Location	12201 Stanfield Ct, Bowie, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013533728
Provider Enumeration Date: 06/18/2020
Last Update Date: 06/18/2020

Medicare PECOS Information:

PECOS PAC ID: 1850758863
Enrollment ID: I20230607000837

Medical Identifiers

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

Identifier	Type	State	Issuer
1013533728	NPI	-	NPPES
0	Other		N/A

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86109842 (* (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. Kelly M Green allows following entities to bill medicare on her behalf.

Provider Name	Chmg Corelife, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1629660147 PECOS PAC ID: 9133526841 Enrollment ID: O20210923000164

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. Kelly M 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
Kelly M Green, RD 12201 Stanfield Ct, Bowie, MD 20720-4439 Ph: (301) 741-9380	Kelly M Green, RD 12201 Stanfield Ct, Bowie, MD 20720-4439 Ph: (301) 741-9380

Reviews and Comments

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Kelly M Green, RD - Medicare Dietitian in Bowie, MD