Mrs Brenda R Greene, CRNA is a medicare enrolled "Anesthesiologist Assistant" in Libertyville, Illinois. Her current practice location is
1800 Hollister Dr, Suite 202, Libertyville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 549-6473.
Mrs Brenda R Greene is licensed to practice in Illinois (license number ) 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 1164463782.
Provider's Profile
| Full Name | Mrs Brenda R Greene |
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| Gender | Female |
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| Speciality | Anesthesiologist Assistant |
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| Location | 1800 Hollister Dr, Libertyville, Illinois |
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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: 1164463782
- Provider Enumeration Date: 06/08/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9638173214
- Enrollment ID: I20060913000360
Medical Identifiers
Medical identifiers for Mrs Brenda R Greene such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1164463782 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367H00000X | Anesthesiologist Assistant | (Illinois) | 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. Mrs Brenda R Greene allows following entities to bill medicare on her behalf.
| Entity Name | Endeavor Health Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
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| Entity Name | Illinois Gastroenterology Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316277817 PECOS PAC ID: 5193857423 Enrollment ID: O20100721000790 |
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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. Mrs Brenda R Greene 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 |
Mrs Brenda R Greene, CRNA Po Box 6329, Vernon Hills, IL 60061-6329 Ph: (847) 549-6473 | Mrs Brenda R Greene, CRNA 1800 Hollister Dr, Suite 202, Libertyville, IL 60048-5263 Ph: (847) 549-6473 |
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