Douglas William Green, MD - Medicare Vascular Surgery in Santa Rosa, CA

Douglas William Green, MD is a medicare enrolled "Surgery" physician in Santa Rosa, California. He went to Harvard Medical School and graduated in 1997 and has 27 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Permanente Medical Group Inc and his current practice location is 121 Sotoyome St, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at (707) 549-3141.

Douglas William Green is licensed to practice in California (license number A90305) 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 1386739605.

Contact Information

Douglas William Green, MD
121 Sotoyome St,
Santa Rosa, CA 95405-4823
(707) 549-3141
(707) 546-7351



Physician's Profile

Full NameDouglas William Green
GenderMale
SpecialityVascular Surgery
Experience27 Years
Location121 Sotoyome St, Santa Rosa, California
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:
  • Douglas William Green attended and graduated from Harvard Medical School in 1997
  NPI Data:
  • NPI Number: 1386739605
  • Provider Enumeration Date: 10/03/2006
  • Last Update Date: 12/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1951329861
  • Enrollment ID: I20051109000771

Medical Identifiers

Medical identifiers for Douglas William Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386739605NPI-NPPES
00A903050MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery A90305 (California)Secondary
208600000XSurgery A90305 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaiser Foundation Hospital-santa RosaSanta rosa, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Permanente Medical Group Inc89219102257800

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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. Douglas William Green allows following entities to bill medicare on his behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710

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Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346

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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. Douglas William 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
Douglas William Green, MD
121 Sotoyome St,
Santa Rosa, CA 95405-4823

Ph: (707) 549-3141
Douglas William Green, MD
121 Sotoyome St,
Santa Rosa, CA 95405-4823

Ph: (707) 549-3141

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Six years from now, when my daughter turns 11, she will get a three-part human papillomavirus vaccine that will reduce her chances of getting cervical cancer by around 70 percent.

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Surgery Doctors in Santa Rosa, CA

Dr. Sabrina Ann Kidd, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 30 Mark West Springs Rd, Santa Rosa, CA 95403
Phone: 707-576-4000    
George M. Huang, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 707-571-4000    
Lucinda Romero, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403
Phone: 707-571-4000    
Elizabeth A Peralta, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3883 Airway Drive, Suite 201, Santa Rosa, CA 95403
Phone: 707-521-8900    Fax: 707-523-1309
Brian Frederick Schmidt, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1701 4th St, Ste 200, Santa Rosa, CA 95404
Phone: 707-579-2100    Fax: 707-523-0616
Brett J Schulte, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 121 Sotoyome St Ste 201, Santa Rosa, CA 95405
Phone: 707-579-2100    Fax: 707-523-0616
Keith Forrest Korver, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3510 Unocal Pl Ste 207, Santa Rosa, CA 95403
Phone: 707-569-7860    Fax: 707-545-5408

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