Mr William Raymond Green Iii, in Roseville, CA

Mr William Raymond Green Iii, is a medicare enrolled "Nurse Practitioner - Family" in Roseville, California. He graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Complete Care Community Health Center, Inc and 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 may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and 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 Name	Mr William Raymond Green Iii
Gender	Male
Speciality	Nurse Practitioner
Experience	2 Years
Location	7 Medical Plaza Dr Ste 250, Roseville, California
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr William Raymond Green Iii graduated from nursing school in 2024

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.

Identifier	Type	State	Issuer
1710735857	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95029487 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sutter Roseville Medical Center	Roseville, CA	Hospital
Kaweah Delta Medical Center	Visalia, CA	Hospital
Adventist Health Hanford	Hanford, CA	Hospital
Sierra Nevada Memorial Hospital	Grass valley, CA	Hospital
Marshall Medical Center	Placerville, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Complete Care Community Health Center, Inc	3779494190	45

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 Name	Complete Care Community Health Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215113964 PECOS PAC ID: 3779494190 Enrollment ID: O20080521000478

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 Address	Practice 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

Nurse Practitioner Nurses in Roseville, CA

Elizabeth Barbara Willerup, RNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1643 Eureka Rd, Roseville, CA 95661 Phone: 916-771-7627 Fax: 916-771-7650
Marsha J Montbriand, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661 Phone: 916-782-2229 Fax: 916-797-9414
Mrs. Pantea Nosrat Dunn, MSN PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2 Medical Plaza Dr Ste 225, Roseville, CA 95661 Phone: 916-782-1291 Fax: 916-782-5992
Ms. Linda Rose Brown, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Eureka Rd, Women's Health , Permanente Medical Group, Roseville, CA 95661 Phone: 916-784-5003
Chan Mi Sung, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Plaza Dr, Roseville, CA 95661 Phone: 916-781-1000
Chelsea Srene Robinson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 959 Reserve Dr, Roseville, CA 95678 Phone: 916-782-8638
Catherine E Taylor, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661 Phone: 916-782-2229 Fax: 916-797-9414

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