Stacy Jo Green, CRNP in Edinboro, PA - Medicare Nurse Practitioner

Stacy Jo Green, CRNP is a medicare enrolled "Nurse Practitioner" in Edinboro, Pennsylvania. Her current practice location is 120 Washington Towne Blvd N, Edinboro, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 877-7500.

Stacy Jo Green is licensed to practice in Pennsylvania (license number SP010692) 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 1437481074.

Contact Information

	Stacy Jo Green, CRNP
	120 Washington Towne Blvd N, Edinboro, PA 16412-1254
	(814) 877-7500
	(814) 877-7510

Map and Direction

Provider's Profile

Full Name	Stacy Jo Green
Gender	Female
Speciality	Nurse Practitioner
Location	120 Washington Towne Blvd N, Edinboro, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437481074
Provider Enumeration Date: 02/08/2010
Last Update Date: 08/10/2021

Medicare PECOS Information:

PECOS PAC ID: 1557497575
Enrollment ID: I20100330000263

Medical Identifiers

Medical identifiers for Stacy Jo Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437481074	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP010692 (Pennsylvania)	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. Stacy Jo Green allows following entities to bill medicare on her behalf.

Entity Name	Regional Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174520654 PECOS PAC ID: 4880593722 Enrollment ID: O20040108000694

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. Stacy Jo 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
Stacy Jo Green, CRNP 120 Washington Towne Blvd N, Edinboro, PA 16412-1254 Ph: (814) 877-7500	Stacy Jo Green, CRNP 120 Washington Towne Blvd N, Edinboro, PA 16412-1254 Ph: (814) 877-7500

Reviews and Comments

Nurse Practitioner Nurses in Edinboro, PA

Christopher Conn, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Washington Towne Blvd N, Edinboro, PA 16412 Phone: 814-877-7500
Danielle M Cavalieri, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 118 E Plum St, Edinboro, PA 16412 Phone: 814-734-7600 Fax: 814-734-4312
Savanna Strick, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 450 Erie St, Edinboro, PA 16412 Phone: 814-734-1618 Fax: 814-734-3102
Christine F Higley, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 Erie St, Edinboro, PA 16412 Phone: 814-734-1618 Fax: 814-734-3102

Stacy Jo Green, CRNP - Medicare Nurse Practitioner in Edinboro, PA