Travis Ray Green, DMS, PA-C - Medicare Physician Assistant in Bloomington, MN

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Travis Ray Green, DMS, PA-C is a medicare enrolled "Physician Assistant" in Bloomington, Minnesota. He graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Range Regional Health Services, Allina Health System and his current practice location is 4300 Market Pte Dr Ste 100, Bloomington, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 767-4574.

Travis Ray Green is licensed to practice in Minnesota (license number 12938) 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 1134693518.

Contact Information

Travis Ray Green, DMS, PA-C
4300 Market Pte Dr Ste 100,
Bloomington, MN 55435-5435
(952) 767-4574
Not Available

Map and Direction




Provider's Profile

Full NameTravis Ray Green
GenderMale
SpecialityPhysician Assistant
Experience8 Years
Location4300 Market Pte Dr Ste 100, Bloomington, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Travis Ray Green graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1134693518
  • Provider Enumeration Date: 01/18/2019
  • Last Update Date: 08/20/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8628318383
  • Enrollment ID: I20190318000868

Medical Identifiers

Medical identifiers for Travis Ray Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134693518NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 12938 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Centracare - St. Cloud HospitalSaint cloud, MNHospital
Centracare - Monticello HospitalMonticello, MNHospital
Range Regional Health ServicesHibbing, MNHospital
Cambridge Medical CenterCambridge, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Range Regional Health Services8022920024349
Allina Health System45875736133844

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. Travis Ray Green allows following entities to bill medicare on his behalf.
Entity NameEmergency Physicians Professional Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801871934
PECOS PAC ID: 9537072657
Enrollment ID: O20031106000068
Entity NameRange Regional Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669569265
PECOS PAC ID: 8022920024
Enrollment ID: O20031110000095
Entity NameMille Lacs Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548212699
PECOS PAC ID: 4789577834
Enrollment ID: O20040204000052
Entity NameSanford Health Network North
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386047355
PECOS PAC ID: 8022206663
Enrollment ID: O20180205002429
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457657249
PECOS PAC ID: 4587573613
Enrollment ID: O20221213001713

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. Travis Ray 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 AddressPractice Location Address
Travis Ray Green, DMS, PA-C
4300 Market Pte Dr Ste 100,
Bloomington, MN 55435-5435

Ph: (952) 767-4574		Travis Ray Green, DMS, PA-C
4300 Market Pte Dr Ste 100,
Bloomington, MN 55435-5435

Ph: (952) 767-4574

Reviews and Comments


Physician Assistant Nurses in Bloomington, MN

Jacob C Kruger, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435
Phone: 528-359-9880    
Meredith Jean Lorig, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435
Phone: 952-835-9880    Fax: 952-857-1554
Michelle Hopman, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 600 W 98th St, Bloomington, MN 55420
Phone: 952-881-2651    Fax: 952-885-6022
Alex Jordan Krona, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 600 W 98th St, Bloomington, MN 55420
Phone: 855-324-7843    
Victoria Shepard Williams, PA-C, MPAS
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435
Phone: 952-835-9880    Fax: 952-857-1554
Matthew Brian Hamilton Williams, PA-C
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435
Phone: 952-835-9880    Fax: 952-857-1554
Michael Charles Lick,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4300 Market Pte Dr Ste 100, Bloomington, MN 55435
Phone: 457-495-2767    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.