Kody Green, CNP is a medicare enrolled "Family Medicine" physician in Centerburg, Ohio. He graduated from medical school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Knox Community Hospital and his current practice location is
3595 Columbus Rd, Centerburg, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 625-6234.
Kody Green is licensed to practice in Ohio (license number APRN.CNP.0030515) 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 1366193310.
Physician's Profile
| Full Name | Kody Green |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 3595 Columbus Rd, Centerburg, Ohio |
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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:
- Kody Green graduated from medical school in 2021
NPI Data:
- NPI Number: 1366193310
- Provider Enumeration Date: 01/11/2022
- Last Update Date: 03/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 0244606796
- Enrollment ID: I20221025000934
Medical Identifiers
Medical identifiers for Kody Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366193310 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | APRN.CNP.0030515 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Knox Community Hospital | 1153301833 | 106 |
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. Kody Green allows following entities to bill medicare on his behalf.
| Entity Name | Knox Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154483022
PECOS PAC ID: 1153301833
Enrollment ID: O20040722001173 |
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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. Kody 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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Kody Green, CNP
3595 Columbus Rd,
Centerburg, OH 43011-7088
Ph: (740) 625-6234 | Kody Green, CNP
3595 Columbus Rd,
Centerburg, OH 43011-7088
Ph: (740) 625-6234 |
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