Mack Green, MD in Apple Valley, CA - Medicare Sports Medicine

Mack Green, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Apple Valley, California. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice Southern California Bone And Joint Clinic Inc and his current practice location is 16008 Kamana Rd, Suite 100, Apple Valley, California. You can reach out to his office (for appointments etc.) via phone at (760) 956-5200.

Mack Green is licensed to practice in California (license number A1259029) 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 1043531676.

Contact Information

	Mack Green, MD
	16008 Kamana Rd, Suite 100, Apple Valley, CA 92307-1376
	(760) 956-5200
	(760) 669-0793

Map and Direction

Physician's Profile

Full Name	Mack Green
Gender	Male
Speciality	Sports Medicine
Experience	16 Years
Location	16008 Kamana Rd, Apple Valley, California
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:

Mack Green graduated from medical school in 2008

NPI Data:

NPI Number: 1043531676
Provider Enumeration Date: 06/17/2010
Last Update Date: 09/28/2015

Medicare PECOS Information:

PECOS PAC ID: 8325260730
Enrollment ID: I20141118002679

Medical Identifiers

Medical identifiers for Mack Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043531676	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QS0010X	Family Medicine - Sports Medicine	A1259029 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Mary Medical Center	Apple valley, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Bone And Joint Clinic Inc	3870771769	2

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. Mack Green allows following entities to bill medicare on his behalf.

Entity Name	Southern California Bone And Joint Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457670226 PECOS PAC ID: 3870771769 Enrollment ID: O20110623000528

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. Mack 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
Mack Green, MD 12277 Apple Valley Rd, Pmb 288, Apple Valley, CA 92308-1701 Ph: (760) 956-5200	Mack Green, MD 16008 Kamana Rd, Suite 100, Apple Valley, CA 92307-1376 Ph: (760) 956-5200

Reviews and Comments

Family Medicine Doctors in Apple Valley, CA

Dr. Cynthia Lynn Thomas, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16017 Tuscola Rd, Suite E, Apple Valley, CA 92307 Phone: 760-946-1776 Fax: 760-946-1668
Dr. Kenneth Grier, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18564 Us Highway 18 Ste 101, Apple Valley, CA 92307 Phone: 760-242-7777
Dr. Craig R Mueller, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15863 Kasota Rd, Apple Valley, CA 92307 Phone: 760-948-1454 Fax: 760-948-6100
Mazen K Munir, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18144 Us Highway 18, Suite 140, Apple Valley, CA 92307 Phone: 760-242-5500 Fax: 760-242-5506
James Krider, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18182 Us Highway 18, Suite 105, Apple Valley, CA 92307 Phone: 760-242-1234 Fax: 760-242-5527
Dawit Mamo, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 16070 Tuscola Rd, Suite 101, Apple Valley, CA 92307 Phone: 760-242-4000 Fax: 760-242-5250

Mack Green, MD - Medicare Sports Medicine in Apple Valley, CA