Susan Tate Green, in Klamath Falls, OR - Medicare Speech-Language Pathologist Provider

Susan Tate Green, is a medicare enrolled "Speech-language Pathologist" provider in Klamath Falls, Oregon. Her current practice location is 520 E Main St, Klamath Falls, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 883-4754.

Susan Tate Green is licensed to practice in Tennessee (license number 1614) 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 1487747184.

Contact Information

	Susan Tate Green,
	520 E Main St, Klamath Falls, OR 97601-3236
	(541) 883-4754
	(541) 883-4775

Map and Direction

Healthcare Provider's Profile

Full Name	Susan Tate Green
Gender	Female
Speciality	Speech-language Pathologist
Location	520 E Main St, Klamath Falls, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487747184
Provider Enumeration Date: 10/02/2006
Last Update Date: 06/03/2024

Medicare PECOS Information:

PECOS PAC ID: 1951839091
Enrollment ID: I20250116002780

Medical Identifiers

Medical identifiers for Susan Tate Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487747184	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	16820 (Oregon)	Secondary
235Z00000X	Speech-language Pathologist	1614 (Tennessee)	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. Susan Tate Green allows following entities to bill medicare on her behalf.

Provider Name	Select Rehabilitation Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20230922002056

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. Susan Tate 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
Susan Tate Green, 513 Main St Ste 101, Klamath Falls, OR 97601-6057 Ph: (901) 497-8665	Susan Tate Green, 520 E Main St, Klamath Falls, OR 97601-3236 Ph: (541) 883-4754

Reviews and Comments

Speech-Language Pathologist in Klamath Falls, OR

Jaime Marie Zakour, SPEECH LANGUAGE PATH Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4424 Winter Ave, Klamath Falls, OR 97603 Phone: 541-331-2318
Stephani Lyn Evans, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2240 Applegate Ave, Klamath Falls, OR 97601 Phone: 208-821-4965
Kendra Schmid, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3125 Crosby Ave, Klamath Falls, OR 97603 Phone: 541-883-4748
Lisa Sweat, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2450 Summers Ln, Klamath Falls, OR 97603 Phone: 541-883-4748
Mrs. Rhonda Lee Tyler, M.A.,CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5101 Ankeny St, Klamath Falls, OR 97603 Phone: 541-591-1399
Ms. Tamy Faye Bjorklund, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1401 Bryant Williams Dr, Klamath Falls, OR 97601 Phone: 541-882-6691
Devyn Corey, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1336 Avalon St, Klamath Falls, OR 97603 Phone: 541-883-4750

Susan Tate Green, - Medicare Speech-Language Pathologist in Klamath Falls, OR