Dr Johnny Richard Green Jr, DO in Oxford, MS

Dr Johnny Richard Green Jr, DO is a medicare enrolled "Internal Medicine" physician in Oxford, Mississippi. His current practice location is 81 Ed Perry Blvd Ste 107, Oxford, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 636-5290.

Dr Johnny Richard Green Jr is licensed to practice in Mississippi (license number 33279) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851979983.

Contact Information

	Dr Johnny Richard Green Jr, DO
	81 Ed Perry Blvd Ste 107, Oxford, MS 38655-3465
	(662) 636-5290
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Johnny Richard Green Jr
Gender	Male
Speciality	Internal Medicine
Location	81 Ed Perry Blvd Ste 107, Oxford, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851979983
Provider Enumeration Date: 03/30/2021
Last Update Date: 03/14/2025

Medicare PECOS Information:

PECOS PAC ID: 2567853823
Enrollment ID: I20240815002994

Medical Identifiers

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

Identifier	Type	State	Issuer
1851979983	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	T-4329 (Tennessee)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207R00000X	Internal Medicine	33279 (Mississippi)	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. Dr Johnny Richard Green Jr allows following entities to bill medicare on his behalf.

Entity Name	Baptist Memorial Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20101011000028

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 Johnny Richard Green Jr 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 Johnny Richard Green Jr, DO 965 Ridge Lake Blvd, Memphis, TN 38120-9401 Ph: (901) 227-4692	Dr Johnny Richard Green Jr, DO 81 Ed Perry Blvd Ste 107, Oxford, MS 38655-3465 Ph: (662) 636-5290

Reviews and Comments

Internal Medicine Doctors in Oxford, MS

Dr. Sidney K Pace, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2301 South Lamar Blvd., Oxford, MS 38655 Phone: 662-232-8568 Fax: 662-513-1450
Rodney R Moore, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1990 W. Wellsgate Dr., Oxford, MS 38655 Phone: 321-749-2425
Dr. Jacob R Whelan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2301 South Lamar Blvd., Oxford, MS 38655 Phone: 662-232-8568 Fax: 662-513-1450
Dr. Sajan Sarker, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1100 Belk Blvd, Oxford, MS 38655 Phone: 662-636-1000
Dr. Jeffrey Neal Evans, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2301 South Lamar Blvd Suite 100, 2301 South Lamar Blvd Suite 100, Oxford, MS 38655 Phone: 662-234-0119 Fax: 662-234-0090
Laura P Young, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2301 S Lamar Blvd, Oxford, MS 38655 Phone: 662-232-8568 Fax: 662-513-1450
Dr. David Irwin Bridgers Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1208 Office Park Dr, Oxford, MS 38655 Phone: 662-234-9888 Fax: 662-281-8927

Dr Johnny Richard Green Jr, DO - Medicare Internal Medicine in Oxford, MS