Melissa Green, CRNA - Medicare Nurse Anesthetist, Certified Registered in Lakeside, AZ

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Melissa Green, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lakeside, Arizona. Her current practice location is 5080 Mogollon Rim Dr, Lakeside, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 297-5926.

Melissa Green is licensed to practice in Arizona (license number RN156511) 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 1144258989.

Contact Information

Melissa Green, CRNA
5080 Mogollon Rim Dr,
Lakeside, AZ 85929-5530
(480) 297-5926
Not Available

Map and Direction




Provider's Profile

Full NameMelissa Green
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location5080 Mogollon Rim Dr, Lakeside, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144258989
  • Provider Enumeration Date: 06/29/2006
  • Last Update Date: 11/02/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 9436100989
  • Enrollment ID: I20090311000690

Medical Identifiers

Medical identifiers for Melissa Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144258989NPI-NPPES
Z142693OtherAZMEDICARE PROVIDER
200513500MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN156511 (Arizona)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. Melissa Green allows following entities to bill medicare on her behalf.
Entity NameNortheastern Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487956504
PECOS PAC ID: 4284813940
Enrollment ID: O20110126001051

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. Melissa 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 AddressPractice Location Address
Melissa Green, CRNA
5080 Mogollon Rim Dr,
Lakeside, AZ 85929-5530

Ph: (480) 297-5926		Melissa Green, CRNA
5080 Mogollon Rim Dr,
Lakeside, AZ 85929-5530

Ph: (480) 297-5926

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Lakeside, AZ

Frank Freund, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5448 Highway 260 Ste 100, Lakeside, AZ 85929
Phone: 283-581-8629    Fax: 928-537-2049
Chance Green, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 5448 Highway 260 Ste 100, Lakeside, AZ 85929
Phone: 928-359-1862    Fax: 928-537-2049

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.