Mr David Lynn Green, CRNA is a medicare enrolled "Anesthesiology" physician in Sweetwater, Texas. His current practice location is
1502 E 17th St, Sweetwater, Texas. You can reach out to his office (for appointments etc.) via phone at
(325) 235-4457.
Mr David Lynn Green is licensed to practice in Texas (license number 231635) 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 1124139571.
Physician's Profile
| Full Name | Mr David Lynn Green |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 1502 E 17th St, Sweetwater, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124139571
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 08/10/2011
Medicare PECOS Information:
- PECOS PAC ID: 6800941568
- Enrollment ID: I20090901000358
Medical Identifiers
Medical identifiers for Mr David Lynn Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124139571 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | 231635 (Texas) | 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. Mr David Lynn Green allows following entities to bill medicare on his behalf.
| Entity Name | Rolling Plains Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427171115
PECOS PAC ID: 4688575228
Enrollment ID: O20040315001221 |
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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. Mr David Lynn 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 |
|---|
Mr David Lynn Green, CRNA
4100 International Plaza, Suite 600,
Fort Worth, TX 76109
Ph: (817) 334-0530 | Mr David Lynn Green, CRNA
1502 E 17th St,
Sweetwater, TX 79556-1734
Ph: (325) 235-4457 |
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