Kenneth E Green, MD is a medicare enrolled "Surgery" physician in La Grange, Kentucky. His current practice location is
1025 New Moody Ln, La Grange, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(502) 222-0598.
Kenneth E Green is licensed to practice in Kentucky (license number 24940) 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 1508802950.
Physician's Profile
| Full Name | Kenneth E Green |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 1025 New Moody Ln, La Grange, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508802950
- Provider Enumeration Date: 06/22/2006
- Last Update Date: 05/02/2019
Medicare PECOS Information:
- PECOS PAC ID: 6901888304
- Enrollment ID: I20040601000814
Medical Identifiers
Medical identifiers for Kenneth E Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1508802950 | NPI | - | NPPES |
| 6424940200 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208600000X | Surgery | 24940 (Kentucky) | 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. Kenneth E Green allows following entities to bill medicare on his behalf.
| Entity Name | Baptist Health Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
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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. Kenneth E 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 |
Kenneth E Green, MD 2700 Stanley Gault Pkwy Ste 129, Louisville, KY 40223-5176 Ph: (502) 489-6613 | Kenneth E Green, MD 1025 New Moody Ln, La Grange, KY 40031-9154 Ph: (502) 222-0598 |
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