Dr Derrick Richard Green, MD in Charleston, WV

Dr Derrick Richard Green, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Charleston, West Virginia. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2013 and has 13 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Charleston Area Medical Center Inc and his current practice location is 3200 Maccorkle Ave Se, Dept Of Pathology, Charleston, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 388-5550.

Dr Derrick Richard Green is licensed to practice in West Virginia (license number 26706) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952644460.

Contact Information

	Dr Derrick Richard Green, MD
	3200 Maccorkle Ave Se, Dept Of Pathology, Charleston, WV 25304-1297
	(304) 388-5550
	(304) 388-4352

Map and Direction

Physician's Profile

Full Name	Dr Derrick Richard Green
Gender	Male
Speciality	Pathology
Experience	13 Years
Location	3200 Maccorkle Ave Se, Charleston, West Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Derrick Richard Green attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2013

NPI Data:

NPI Number: 1952644460
Provider Enumeration Date: 04/03/2013
Last Update Date: 10/02/2025

Medicare PECOS Information:

PECOS PAC ID: 5597068981
Enrollment ID: I20181101003348

Medical Identifiers

Medical identifiers for Dr Derrick Richard Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952644460	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	26706 (West Virginia)	Primary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	MD492362C (Pennsylvania)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Charleston Area Medical Center	Charleston, WV	Hospital
Boone Memorial Hospital	Madison, WV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Charleston Area Medical Center Inc	3375441637	859

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. Dr Derrick Richard Green allows following entities to bill medicare on his behalf.

Entity Name	Charleston Area Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426

Entity Name	Boone Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285686725 PECOS PAC ID: 3375433352 Enrollment ID: O20051111000050

Entity Name	Boone Memorial Hospital Inc
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1639135221 PECOS PAC ID: 3375433352 Enrollment ID: O20061104000273

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 Derrick Richard 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
Dr Derrick Richard Green, MD 3200 Maccorkle Ave Se, Dept Of Pathology, Charleston, WV 25304-1297 Ph: (304) 388-5550	Dr Derrick Richard Green, MD 3200 Maccorkle Ave Se, Dept Of Pathology, Charleston, WV 25304-1297 Ph: (304) 388-5550

Reviews and Comments

Pathology Doctors in Charleston, WV

Dr. Oscar Cinco Estalilla, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Avenue Se, Pathology Department, Charleston, WV 25304 Phone: 304-388-5550 Fax: 304-388-4352
David A. Hansen, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3200 Maccorkle Avenue Se, Pathology Department, Charleston, WV 25304 Phone: 304-388-5550 Fax: 304-388-4352
Dr. Zachary Grimes, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-5550
Dr. Robert Matthew Mccoy, MD Pathology Medicare: Medicare Enrolled Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-5550 Fax: 304-388-4352
Mark G Inman, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3200 Maccorkle Avenue Se, Pathology Department, Charleston, WV 25304 Phone: 304-388-5550 Fax: 304-388-4352
Phyllis R. Sawyer, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3200 Maccorkle Avenue Se, Pathology Department, Charleston, WV 25304 Phone: 304-388-5550 Fax: 304-388-4352
Dr. Andrew Milton Plata, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304 Phone: 304-388-5550

Dr Derrick Richard Green, MD - Medicare Pathology in Charleston, WV