Bryan Robert Green, MD - Medicare Family Practice in Bolivar, MO

Bryan Robert Green, MD is a medicare enrolled "Family Medicine" physician in Bolivar, Missouri. He went to University Of Missouri, Columbia School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mosaic Medical Center - Maryville, Performance Plus Rehabilitation Center Llc and his current practice location is 3817 S Springfield Ave Ste 140, Bolivar, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 422-4769.

Bryan Robert Green is licensed to practice in Missouri (license number 2005034471) 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 1295791366.

Contact Information

Bryan Robert Green, MD
3817 S Springfield Ave Ste 140,
Bolivar, MO 65613-9129
(417) 422-4769
Not Available



Physician's Profile

Full NameBryan Robert Green
GenderMale
SpecialityFamily Practice
Experience25 Years
Location3817 S Springfield Ave Ste 140, Bolivar, Missouri
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:
  • Bryan Robert Green attended and graduated from University Of Missouri, Columbia School Of Medicine in 1999
  NPI Data:
  • NPI Number: 1295791366
  • Provider Enumeration Date: 04/26/2006
  • Last Update Date: 04/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2466474333
  • Enrollment ID: I20051221000027

Medical Identifiers

Medical identifiers for Bryan Robert Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295791366NPI-NPPES
49561031OtherMOBCBSKC
1295791366MedicaidMO
P00273140OtherMORR MEDICARE
201084370AMedicaidKS
1295791366MedicaidIA
1295791366OtherMOTRICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2005034471 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mosaic Life Care Home HealthSaint joseph, MOHome health agency
Mosaic Life Care HospiceSaint joseph, MOHospice
Ssm Health St. Francis Hospital- MaryvilleMaryville, MOHospital
Mosaic Life Care At St JosephSaint joseph, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mosaic Medical Center - Maryville367881389689
Performance Plus Rehabilitation Center Llc529479169584

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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. Bryan Robert Green allows following entities to bill medicare on his behalf.
Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245277631
PECOS PAC ID: 7416865845
Enrollment ID: O20031104000060

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Entity NameMercy Clinic Springfield Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972771657
PECOS PAC ID: 7416865845
Enrollment ID: O20031218000354

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Entity NameMosaic Medical Center - Maryville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184189797
PECOS PAC ID: 3678813896
Enrollment ID: O20190405001537

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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. Bryan Robert 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
Bryan Robert Green, MD
3817 S Springfield Ave Ste 140,
Bolivar, MO 65613-9129

Ph: (417) 422-4769
Bryan Robert Green, MD
3817 S Springfield Ave Ste 140,
Bolivar, MO 65613-9129

Ph: (417) 422-4769

News Archive

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Family Medicine Doctors in Bolivar, MO

Kristopher J Kaufmann, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1125 N Butterfield Rd, Bolivar, MO 65613
Phone: 417-326-7676    Fax: 417-326-3939
Mrs. Laura C Vance, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613
Phone: 417-326-6021    Fax: 417-326-6347
George J Heinz Iii, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1500 N. Oakland Ave., Bolivar, MO 65613
Phone: 417-328-6631    
Juris Peteris Simanis, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1155 W. Parkview Street, Suite 2d, Bolivar, MO 65613
Phone: 417-777-2663    Fax: 417-777-2666
Dr. Kayla Kittle, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1240 N Butterfield Rd, Bolivar, MO 65613
Phone: 417-326-6021    
Julie Henson,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: Bolivar Family Care Center, 1240 North Butterfield Road, Bolivar, MO 65613
Phone: 417-326-6021    

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