Dr Tyson Ellis Green, DPM in Lake Charles, LA

Dr Tyson Ellis Green, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Lake Charles, Louisiana. He went to Temple University School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Center For Orthopaedics And Spine, Llc and his current practice location is 1747 Imperial Blvd, Lake Charles, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 721-7236.

Dr Tyson Ellis Green is licensed to practice in Louisiana (license number DPM200024) 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 1407001787.

Contact Information

	Dr Tyson Ellis Green, DPM
	1747 Imperial Blvd, Lake Charles, LA 70605-5362
	(337) 721-7236
	(337) 721-7237

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tyson Ellis Green
Gender	Male
Speciality	Podiatry
Experience	18 Years
Location	1747 Imperial Blvd, Lake Charles, Louisiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Tyson Ellis Green attended and graduated from Temple University School Of Medicine in 2006

NPI Data:

NPI Number: 1407001787
Provider Enumeration Date: 11/30/2008
Last Update Date: 01/30/2017

Medicare PECOS Information:

PECOS PAC ID: 9032260690
Enrollment ID: I20090623000097

Medical Identifiers

Medical identifiers for Dr Tyson Ellis Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407001787	NPI	-	NPPES
1805033	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	DPM200024 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Ochsner St Patrick Hospital	Lake charles, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Center For Orthopaedics And Spine, Llc	1557797206	30

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. Dr Tyson Ellis Green allows following entities to bill medicare on his behalf.

Provider Name	Center For Orthopaedics And Spine, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1538703335 PECOS PAC ID: 1557797206 Enrollment ID: O20200129000472

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. Dr Tyson Ellis 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
Dr Tyson Ellis Green, DPM 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 Ph: (337) 312-8258	Dr Tyson Ellis Green, DPM 1747 Imperial Blvd, Lake Charles, LA 70605-5362 Ph: (337) 721-7236

Reviews and Comments

Podiatrist in Lake Charles, LA

Vernon L Garber, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 651 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-433-3338 Fax: 337-433-3337
Dr. John Kalieb Pourciau, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1747 Imperial Blvd, Lake Charles, LA 70605 Phone: 337-721-7236 Fax: 337-721-7237
Mr. Estuardo Alexander Silva, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 524 Dr Michael Debakey Dr, Lake Charles, LA 70601 Phone: 337-480-4948 Fax: 337-491-7195
Louisiana Foot And Ankle Specialists Llc Podiatrist Medicare: Medicare Enrolled Practice Location: 212 W Mcneese St, Lake Charles, LA 70605 Phone: 337-474-2233
Dr. Mallory Michelle Przybylski, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 212 W Mcneese St, Lake Charles, LA 70605 Phone: 337-474-2233
Dr. Robert A. Arango, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1717 Oak Park Blvd Fl 2, Lake Charles, LA 70601 Phone: 337-479-2200 Fax: 337-479-2263

Dr Tyson Ellis Green, DPM - Medicare Podiatrist in Lake Charles, LA