Andrea Lynette White Green, MD is a medicare enrolled "Emergency Medicine" physician in Dalworthington Gardens, Texas. She graduated from medical school in 1979 and has 47 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Cep America Llc and her current practice location is
5 Twin Springs Dr, Dalworthington Gardens, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 467-0527.
Andrea Lynette White Green is licensed to practice in Illinois (license number 036153315) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477538296.
Physician's Profile
| Full Name | Andrea Lynette White Green |
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| Gender | Female |
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| Speciality | Emergency Medicine |
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| Experience | 47 Years |
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| Location | 5 Twin Springs Dr, Dalworthington Gardens, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Andrea Lynette White Green graduated from medical school in 1979
NPI Data:
- NPI Number: 1477538296
- Provider Enumeration Date: 12/14/2005
- Last Update Date: 01/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 5890609168
- Enrollment ID: I20040621000462
Medical Identifiers
Medical identifiers for Andrea Lynette White Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477538296 | NPI | - | NPPES |
| 58137351 | Medicaid | CO | |
| 158826103 | Medicaid | TX | |
| P00421202 | Other | | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 27978 (Wisconsin) | Secondary |
| 207P00000X | Emergency Medicine | 43981 (Colorado) | Secondary |
| 207P00000X | Emergency Medicine | G9826 (Texas) | Secondary |
| 207P00000X | Emergency Medicine | 036153315 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Cep America Llc | 6608056171 | 732 |
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. Andrea Lynette White Green allows following entities to bill medicare on her behalf.
| Entity Name | Acs Primary Care Physicians Southwest Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
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| Entity Name | Cep America Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134761331 PECOS PAC ID: 6608056171 Enrollment ID: O20120813000819 |
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| Entity Name | Southlake Emergicare Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598172033 PECOS PAC ID: 9638398258 Enrollment ID: O20140915000506 |
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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. Andrea Lynette White 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 |
Andrea Lynette White Green, MD 5 Twin Springs Dr, Dalworthington Gardens, TX 76016-4027 Ph: (817) 467-0527 | Andrea Lynette White Green, MD 5 Twin Springs Dr, Dalworthington Gardens, TX 76016-4027 Ph: (817) 467-0527 |
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