Mrs Stephanie Michelle Green, FNP-BC in Maryville, TN

Mrs Stephanie Michelle Green, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Maryville, Tennessee. Her current practice location is 103 Foothills Mall Dr, Maryville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Mrs Stephanie Michelle Green is licensed to practice in Tennessee (license number 17744) 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 1962842278.

Contact Information

	Mrs Stephanie Michelle Green, FNP-BC
	103 Foothills Mall Dr, Maryville, TN 37801-5513
	(866) 389-2727
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Stephanie Michelle Green
Gender	Female
Speciality	Nurse Practitioner - Family
Location	103 Foothills Mall Dr, Maryville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962842278
Provider Enumeration Date: 07/01/2013
Last Update Date: 06/02/2023

Medicare PECOS Information:

PECOS PAC ID: 3173765658
Enrollment ID: I20130813000367

Medical Identifiers

Medical identifiers for Mrs Stephanie Michelle Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962842278	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	17744 (Tennessee)	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 Stephanie Michelle Green allows following entities to bill medicare on her behalf.

Entity Name	Blount Memorial Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699710194 PECOS PAC ID: 6406844174 Enrollment ID: O20040503000547

Entity Name	Blount Senior Care Partners, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750639241 PECOS PAC ID: 4486801982 Enrollment ID: O20120905000362

Entity Name	House Call Primary Care, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578956710 PECOS PAC ID: 8426361932 Enrollment ID: O20150713001953

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 Stephanie Michelle Green 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 Stephanie Michelle Green, FNP-BC 103 W Broadway Ave, Maryville, TN 37801-4703 Ph: (865) 273-1752	Mrs Stephanie Michelle Green, FNP-BC 103 Foothills Mall Dr, Maryville, TN 37801-5513 Ph: (866) 389-2727

Reviews and Comments

Nurse Practitioner Nurses in Maryville, TN

Mrs. Kellie R. Gaby, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 405 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-238-6430 Fax: 865-238-6444
Mrs. Olga Maria Gardner, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-980-4897 Fax: 865-977-4722
Christina Marie Valentin, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-980-4897 Fax: 865-977-4796
Dalya Tobea Frank, APN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-980-4897 Fax: 865-977-4722
Samantha Pendergrass, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5795
Alyssa R. Atchley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1012 Jamestown Way, Maryville, TN 37803 Phone: 865-246-2104 Fax: 865-246-2106
Jamie B Monger, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 250 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-980-5200 Fax: 865-980-5201

Mrs Stephanie Michelle Green, FNP-BC - Medicare Nurse Practitioner in Maryville, TN