Michael Douglas Green, PA - Medicare Physician Assistant in San Pedro, CA

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Michael Douglas Green, PA is a medicare enrolled "Physician Assistant" in San Pedro, California. He graduated from nursing school in 1993 and has 33 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Reddy Urgent Care Inc and his current practice location is 1300 W 7th St, San Pedro, California. You can reach out to his office (for appointments etc.) via phone at (310) 514-5350.

Michael Douglas Green is licensed to practice in California (license number PA13335) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1922030576.

Contact Information

Michael Douglas Green, PA
1300 W 7th St,
San Pedro, CA 90732-3505
(310) 514-5350
(310) 514-5421

Map and Direction




Provider's Profile

Full NameMichael Douglas Green
GenderMale
SpecialityPhysician Assistant
Experience33 Years
Location1300 W 7th St, San Pedro, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael Douglas Green graduated from nursing school in 1993
  NPI Data:
  • NPI Number: 1922030576
  • Provider Enumeration Date: 07/06/2006
  • Last Update Date: 06/25/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 4981898590
  • Enrollment ID: I20101027001353

Medical Identifiers

Medical identifiers for Michael Douglas Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922030576NPI-NPPES
PA13335MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA13335 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Reddy Urgent Care Inc428488498214

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. Michael Douglas Green allows following entities to bill medicare on his behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548667843
PECOS PAC ID: 6103739131
Enrollment ID: O20040121000458
Entity NameStephen R Shea MD Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942239033
PECOS PAC ID: 7416854377
Enrollment ID: O20040422001706
Entity NameReddy Urgent Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093062473
PECOS PAC ID: 4284884982
Enrollment ID: O20121015000378

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. Michael Douglas 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
Michael Douglas Green, PA
Po Box 661360,
Arcadia, CA 91066-1360

Ph: (626) 447-0296		Michael Douglas Green, PA
1300 W 7th St,
San Pedro, CA 90732-3505

Ph: (310) 514-5350

Reviews and Comments


Physician Assistant Nurses in San Pedro, CA

Ashley Turner,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 302 W 5th St Ste 308, San Pedro, CA 90731
Phone: 424-570-6955    
Eshani Gautam Patel, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 270 W 14th St, San Pedro, CA 90731
Phone: 310-519-8723    
Michael Appy,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1643 Westmont Dr, San Pedro, CA 90732
Phone: 310-430-8308    
Cristhiam Al Santos, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 593 W 6th St, San Pedro, CA 90731
Phone: 310-547-0202    Fax: 310-547-0202
Nancy M Hejde, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1001 S Seaside Ave, San Pedro, CA 90731
Phone: 310-521-6053    
Mrs. Kimberly S. Hua, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1600 S Gaffey St, San Pedro, CA 90731
Phone: 310-548-0201    Fax: 310-547-3340
Emily Lavi,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 350 W 5th St Ste 209, San Pedro, CA 90731
Phone: 310-521-6386    

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.