Tasaine Green, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Pine Hill, New Jersey. She went to Fordham University School Of Medicine and graduated in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Shakespeare Operating Llc, Thrive Wellness And Recovery Inc and her current practice location is
98 Estates Rd, Pine Hill, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(347) 582-4944.
Tasaine Green is licensed to practice in Florida (license number APRN11042535) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124994843.
Provider's Profile
| Full Name | Tasaine Green |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 98 Estates Rd, Pine Hill, New Jersey |
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| Accepts Medicare Assignments | Yes. She 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:
- Tasaine Green attended and graduated from Fordham University School Of Medicine in 2025
NPI Data:
- NPI Number: 1124994843
- Provider Enumeration Date: 10/13/2025
- Last Update Date: 10/13/2025
Medicare PECOS Information:
- PECOS PAC ID: 7416435383
- Enrollment ID: I20260202001011
Medical Identifiers
Medical identifiers for Tasaine Green such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124994843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN11042535 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Shakespeare Operating Llc | 0840604310 | 144 |
| Thrive Wellness And Recovery Inc | 7012133390 | 10 |
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. Tasaine Green allows following entities to bill medicare on her behalf.
| Entity Name | Essen Medical Associates, PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366418709
PECOS PAC ID: 1759353501
Enrollment ID: O20040811000885 |
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| Entity Name | Shakespeare Operating LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720634538
PECOS PAC ID: 0840604310
Enrollment ID: O20210123000014 |
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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. Tasaine 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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Tasaine Green,
98 Estates Rd,
Pine Hill, NJ 08021-6567
Ph: (347) 582-4944 | Tasaine Green,
98 Estates Rd,
Pine Hill, NJ 08021-6567
Ph: (347) 582-4944 |
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