Terra E Green, NP is a medicare enrolled "Nurse Practitioner" physician in Beloit, Wisconsin. Her current practice location is
1905 E Huebbe Pkwy, Beloit Clinic, Beloit, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 364-2240.
Terra E Green is licensed to practice in Wisconsin (license number 5411-33) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366875908.
Physician's Profile
| Full Name | Terra E Green |
|---|
| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 1905 E Huebbe Pkwy, Beloit, Wisconsin |
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| Accepts Medicare Assignments | Yes. She 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:
- Terra E Green attended and graduated from in
NPI Data:
- NPI Number: 1366875908
- Provider Enumeration Date: 08/19/2013
- Last Update Date: 04/09/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Terra E Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366875908 | NPI | - | NPPES |
| 1366875908 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208M00000X | Hospitalist | 147601-30 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 147601-030 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 5411-33 (Wisconsin) | Primary |
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. Terra 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 |
|---|
Terra E Green, NP
1905 E Huebbe Pkwy, Beloit Health System,
Beloit, WI 53511-1842
Ph: (608) 364-2200 | Terra E Green, NP
1905 E Huebbe Pkwy, Beloit Clinic,
Beloit, WI 53511-1842
Ph: (608) 364-2240 |
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