Patrick Green, is a medicare enrolled "Physician Assistant - Surgical" in Fairview, Texas. He graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice University Of Utah Surgical Services and his current practice location is
371 Oakwood Trl, Fairview, Texas. You can reach out to his office (for appointments etc.) via phone at
(214) 926-2341.
Patrick Green is licensed to practice in Utah (license number 11942053-1206) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1497377642.
Provider's Profile
| Full Name | Patrick Green |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 371 Oakwood Trl, Fairview, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Patrick Green graduated from nursing school in 2020
NPI Data:
- NPI Number: 1497377642
- Provider Enumeration Date: 05/11/2020
- Last Update Date: 11/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 0648670992
- Enrollment ID: I20210608003843
Medical Identifiers
Medical identifiers for Patrick Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497377642 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AS0400X | Physician Assistant - Surgical | 11942053-1206 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Of Utah Surgical Services | 6002130481 | 43 |
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. Patrick Green allows following entities to bill medicare on his behalf.
| Entity Name | University of Utah Surgical Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174928139
PECOS PAC ID: 6002130481
Enrollment ID: O20150112002158 |
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| Entity Name | University of Utah Acuity Care Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407250541
PECOS PAC ID: 4789908534
Enrollment ID: O20150127000392 |
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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. Patrick 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 |
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Patrick Green,
371 Oakwood Trl,
Fairview, TX 75069-8722
Ph: (214) 926-2341 | Patrick Green,
371 Oakwood Trl,
Fairview, TX 75069-8722
Ph: (214) 926-2341 |
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