Georgian Green, NP is a medicare enrolled "Nurse Practitioner - Family" in Aldan, Pennsylvania. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
400 W Magnolia Ave, Aldan, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(267) 648-8800.
Georgian Green is licensed to practice in Pennsylvania (license number SP029754) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1063251627.
Provider's Profile
| Full Name | Georgian Green |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 400 W Magnolia Ave, Aldan, Pennsylvania |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Georgian Green graduated from nursing school in 2023
NPI Data:
- NPI Number: 1063251627
- Provider Enumeration Date: 05/23/2024
- Last Update Date: 05/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 2264939628
- Enrollment ID: I20251010000404
Medical Identifiers
Medical identifiers for Georgian Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063251627 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | SP029754 (Pennsylvania) | 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. Georgian Green allows following entities to bill medicare on her behalf.
| Entity Name | University of Penn - Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679677975
PECOS PAC ID: 6204730955
Enrollment ID: O20150221000231 |
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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. Georgian 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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Georgian Green, NP
400 W Magnolia Ave,
Aldan, PA 19018-3707
Ph: Not Available | Georgian Green, NP
400 W Magnolia Ave,
Aldan, PA 19018-3707
Ph: (267) 648-8800 |
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