Mr William Raymond Green Iii, - Medicare Nurse Practitioner in Roseville, CA

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Mr William Raymond Green Iii, is a medicare enrolled "Nurse Practitioner - Family" in Roseville, California. His current practice location is 7 Medical Plaza Dr Ste 250, Roseville, California. You can reach out to his office (for appointments etc.) via phone at (916) 773-8711.

Mr William Raymond Green Iii is licensed to practice in California (license number 95029487) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710735857.

Contact Information

Mr William Raymond Green Iii,
7 Medical Plaza Dr Ste 250,
Roseville, CA 95661-3114
(916) 773-8711
(916) 755-7055

Map and Direction




Provider's Profile

Full NameMr William Raymond Green Iii
GenderMale
SpecialityNurse Practitioner - Family
Location7 Medical Plaza Dr Ste 250, Roseville, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710735857
  • Provider Enumeration Date: 05/13/2024
  • Last Update Date: 03/17/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9931639960
  • Enrollment ID: I20250206000864

Medical Identifiers

Medical identifiers for Mr William Raymond Green Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710735857NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95029487 (California)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. Mr William Raymond Green Iii allows following entities to bill medicare on his behalf.
Entity NameComplete Care Community Health Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215113964
PECOS PAC ID: 3779494190
Enrollment ID: O20080521000478
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335
Entity NameSignify Health Medical Associates of California PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124685169
PECOS PAC ID: 8325370570
Enrollment ID: O20191022000320
Entity NameCapital Integrative Rheumatology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720786734
PECOS PAC ID: 5991161101
Enrollment ID: O20230512002603

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. Mr William Raymond Green Iii 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
Mr William Raymond Green Iii,
Po Box 255228,
Sacramento, CA 95865-5228

Ph: (800) 470-0071		Mr William Raymond Green Iii,
7 Medical Plaza Dr Ste 250,
Roseville, CA 95661-3114

Ph: (916) 773-8711

Reviews and Comments


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Elizabeth Barbara Willerup, RNP
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Marsha J Montbriand, NURSE PRACTITIONER
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Ms. Linda Rose Brown, NP
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Chan Mi Sung, FNP-BC
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Practice Location: 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661
Phone: 916-782-2229    Fax: 916-797-9414

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.