Dr Evan Green, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Plainview, New York. He graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Deaconess Specialty Physicians, Inc and his current practice location is
888 Old Country Rd, Plainview, New York. You can reach out to his office (for appointments etc.) via phone at
(760) 490-7392.
Dr Evan Green is licensed to practice in * (Not Available) (license number ) 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 1023462744.
Physician's Profile
| Full Name | Dr Evan Green |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 9 Years |
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| Location | 888 Old Country Rd, Plainview, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Evan Green graduated from medical school in 2016
NPI Data:
- NPI Number: 1023462744
- Provider Enumeration Date: 04/19/2016
- Last Update Date: 09/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 1951645183
- Enrollment ID: I20221027002499
Medical Identifiers
Medical identifiers for Dr Evan Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023462744 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | 02006914A (Indiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Deaconess Specialty Physicians, Inc | 0244595205 | 125 |
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 Evan Green allows following entities to bill medicare on his behalf.
| Entity Name | Deaconess Hospital, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427097443
PECOS PAC ID: 9032021431
Enrollment ID: O20040115000129 |
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| Entity Name | Deaconess Specialty Physicians, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306344817
PECOS PAC ID: 0244595205
Enrollment ID: O20180702001637 |
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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. Dr Evan 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 |
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Dr Evan Green, DO
888 Old Country Rd,
Plainview, NY 11803-4914
Ph: (760) 490-7392 | Dr Evan Green, DO
888 Old Country Rd,
Plainview, NY 11803-4914
Ph: (760) 490-7392 |
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