Jeanette Faith Green, PHD, APRN, PMHNP-BC is a medicare enrolled "Psychiatry & Neurology - Addiction Medicine" in Atlanta, Georgia. Her current practice location is
1821 Clifton Rd Ne, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(800) 434-7495.
Jeanette Faith Green is licensed to practice in Georgia (license number RN302799) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033366364.
Provider's Profile
| Full Name | Jeanette Faith Green |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Addiction Medicine |
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| Location | 1821 Clifton Rd Ne, Atlanta, Georgia |
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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: 1033366364
- Provider Enumeration Date: 08/18/2008
- Last Update Date: 10/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 8921175928
- Enrollment ID: I20241220000224
Medical Identifiers
Medical identifiers for Jeanette Faith Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033366364 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0200X | Nurse Practitioner - Pediatrics | RN302779 (Georgia) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | APRN9189741 (Florida) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN302779 (Georgia) | Secondary |
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | RN302799 (Georgia) | 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. Jeanette Faith Green allows following entities to bill medicare on her behalf.
| Entity Name | The Emory Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396798229
PECOS PAC ID: 8820901408
Enrollment ID: O20031110000503 |
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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. Jeanette Faith 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 |
|---|
Jeanette Faith Green, PHD, APRN, PMHNP-BC
1821 Clifton Rd Ne Ste 1200,
Atlanta, GA 30329-4021
Ph: () - | Jeanette Faith Green, PHD, APRN, PMHNP-BC
1821 Clifton Rd Ne,
Atlanta, GA 30329-4021
Ph: (800) 434-7495 |
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