Sean E Green, PA-C is a medicare enrolled "Physician Assistant" in Canyon, Texas. He graduated from nursing school in 1992 and has 34 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Fmc Medical Foundation, Inc. and his current practice location is
911 23rd St, Canyon, Texas. You can reach out to his office (for appointments etc.) via phone at
(806) 655-2104.
Sean E Green is licensed to practice in Texas (license number PA01160) 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 1679585517.
Provider's Profile
| Full Name | Sean E Green |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 34 Years |
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| Location | 911 23rd St, Canyon, 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:
- Sean E Green graduated from nursing school in 1992
NPI Data:
- NPI Number: 1679585517
- Provider Enumeration Date: 08/12/2006
- Last Update Date: 08/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062453160
- Enrollment ID: I20050519000162
Medical Identifiers
Medical identifiers for Sean E Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679585517 | NPI | - | NPPES |
| 129700101 | Other | TX | SOUTHWEST LIFE & HEALTH |
| 8N8379 | Other | TX | BCBS |
| 129700101 | Other | TX | FIRST CARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA01160 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fmc Medical Foundation, Inc. | 9133341795 | 37 |
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. Sean E Green allows following entities to bill medicare on his behalf.
| Entity Name | Fmc Medical Foundation, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104255272
PECOS PAC ID: 9133341795
Enrollment ID: O20141114001090 |
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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. Sean E 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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Sean E Green, PA-C
911 23rd St,
Canyon, TX 79015-4600
Ph: (806) 655-2104 | Sean E Green, PA-C
911 23rd St,
Canyon, TX 79015-4600
Ph: (806) 655-2104 |
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