Mrs Destiny C Green, RN is a
Home Health based in Milwaukee, Wisconsin. Mrs Destiny C Green is licensed to practice in Wisconsin (license number ) and her current practice location is
6100 N 42nd St # 108, Milwaukee, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 795-9761.
NPI number for Mrs Destiny C Green is 1669314340 and her current mailing address is 6100 N 42nd St # 108, Milwaukee, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1669314340.
Provider's Profile
| Full Name | Mrs Destiny C Green |
|---|
| Gender | Female |
|---|
| Speciality | Home Health |
|---|
| Location | 6100 N 42nd St # 108, Milwaukee, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1669314340
- Provider Enumeration Date: 04/09/2026
- Last Update Date: 04/09/2026
Medical Identifiers
Medical identifiers for Mrs Destiny C Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1669314340 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 1108493-30 (Wisconsin) | Secondary |
| 253Z00000X | In Home Supportive Care | (Wisconsin) | Secondary |
| 343900000X | Non-emergency Medical Transport (van) | (Wisconsin) | Secondary |
| 385H00000X | Respite Care | (Wisconsin) | Secondary |
| 251E00000X | Home Health | (Wisconsin) | Primary |
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 Destiny C Green is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Destiny C Green, RN 6100 N 42nd St # 108, Milwaukee, WI 53209-3560 Ph: (414) 795-9761 | Mrs Destiny C Green, RN 6100 N 42nd St # 108, Milwaukee, WI 53209-3560 Ph: (414) 795-9761 |
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