Mrs Jacquelin London Greene, FNP-C - Medicare Nurse Practitioner in Lebanon, VA

Mrs Jacquelin London Greene, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lebanon, Virginia. Her current practice location is 58 Carroll St, Lebanon, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 883-8086.

Mrs Jacquelin London Greene is licensed to practice in Virginia (license number 0024168638) 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 1124002035.

Contact Information

Mrs Jacquelin London Greene, FNP-C
58 Carroll St,
Lebanon, VA 24266
(276) 883-8086
(276) 883-8090

Map and Direction




Provider's Profile

Full NameMrs Jacquelin London Greene
GenderFemale
SpecialityNurse Practitioner - Family
Location58 Carroll St, Lebanon, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124002035
  • Provider Enumeration Date: 12/05/2005
  • Last Update Date: 02/07/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7810020898
  • Enrollment ID: I20100727001033

Medical Identifiers

Medical identifiers for Mrs Jacquelin London Greene such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124002035NPI-NPPES
1124002035MedicaidVA
0024168638OtherVAVIRGINIA LICENSE
Q003735MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024168638 (Virginia)Primary
363LF0000XNurse Practitioner - Family 14888 (Tennessee)Secondary

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 Jacquelin London Greene allows following entities to bill medicare on her behalf.
Entity NameBlue Ridge Medical Management Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326159567
PECOS PAC ID: 9739099441
Enrollment ID: O20040715001336
Entity NameAbingdon Physician Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306944350
PECOS PAC ID: 5991705667
Enrollment ID: O20070102000365
Entity NameAppalachian Emergency Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487963781
PECOS PAC ID: 6901099639
Enrollment ID: O20110120000558

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 Jacquelin London 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 AddressPractice Location Address
Mrs Jacquelin London Greene, FNP-C
58 Carroll St,
Lebanon, VA 24266

Ph: (276) 883-8086
Mrs Jacquelin London Greene, FNP-C
58 Carroll St,
Lebanon, VA 24266

Ph: (276) 883-8086

Reviews and Comments


Nurse Practitioner Nurses in Lebanon, VA

Kimberly Michelle Miller, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 481 Majestic Valley Rd, Lebanon, VA 24266
Phone: 276-596-0608    
Mrs. Amanda Michele Mullins, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 142 Highland Dr, Lebanon, VA 24266
Phone: 276-889-0433    Fax: 276-889-5537
Mrs. Kathy Jo Justus, CFNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 495 East Main Street, Lebanon, VA 24266
Phone: 276-889-3700    Fax: 276-889-5505
Amanda Elizabeth Horner,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 58 Carroll Street, Lebanon, VA 24266
Phone: 276-883-8000    
Kelly E Harness, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 344 Overlook Dr Ste 200, Lebanon, VA 24266
Phone: 276-883-5900    
Nancy Sue Blevins, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 75 Rogers Street, Lebanon, VA 24266
Phone: 276-889-7621    Fax: 276-889-7621

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.