Jennifer Green, AGACNP is a medicare enrolled "Nurse Practitioner" in Caddo Mills, Texas. Her current practice location is
1799 County Road 2219, Caddo Mills, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 808-0389.
Jennifer Green is licensed to practice in Texas (license number 1036810) 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 1851045058.
Provider's Profile
Full Name | Jennifer Green |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 1799 County Road 2219, Caddo Mills, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1851045058
- Provider Enumeration Date: 02/07/2022
- Last Update Date: 02/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 2466849823
- Enrollment ID: I20220503002934
Medical Identifiers
Medical identifiers for Jennifer Green such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1851045058 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 1036810 (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. Jennifer Green allows following entities to bill medicare on her behalf.
Entity Name | Cardiology Specialists Of North Texas Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689984585 PECOS PAC ID: 1456535624 Enrollment ID: O20110412001054 |
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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. Jennifer 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 |
Jennifer Green, AGACNP 1799 County Road 2219, Caddo Mills, TX 75135-8378 Ph: (214) 808-0389 | Jennifer Green, AGACNP 1799 County Road 2219, Caddo Mills, TX 75135-8378 Ph: (214) 808-0389 |
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