Randy Green, in Bastrop, LA - Case Manager/Care Coordinator

Randy Green, is a Case Manager/care Coordinator based in Bastrop, Louisiana. Randy Green is licensed to practice in * (Not Available) (license number ) and his current practice location is 410 S Franklin St, Bastrop, Louisiana. He can be reached at his office (for appointments etc.) via phone at (318) 410-1062.

NPI number for Randy Green is 1053763102 and his current mailing address is 3018 Old Minden Rd Ste 1117, Bossier City, Louisiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053763102.

Contact Information

	Randy Green,
	410 S Franklin St, Bastrop, LA 71220
	(318) 410-1062
	Not Available

Healthcare Provider's Profile

Full Name	Randy Green
Gender	Male
Speciality	Case Manager/care Coordinator
Location	410 S Franklin St, Bastrop, Louisiana
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1053763102
Provider Enumeration Date: 07/12/2016
Last Update Date: 06/06/2018

Medical Identifiers

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

Identifier	Type	State	Issuer
1053763102	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	Primary

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. Randy Green is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Randy Green, 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 Ph: (318) 746-1935	Randy Green, 410 S Franklin St, Bastrop, LA 71220 Ph: (318) 410-1062

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