Dr Kerry Scott Green, MD - Medicare Family Practice in Mesa, AZ

Dr Kerry Scott Green, MD is a medicare enrolled "Family Medicine" physician in Mesa, Arizona. He went to Wayne State University School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Bhsm Rehabilitation Llc, Kerry S Green Md Plc and his current practice location is 6112 E Brown Rd, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 924-4422.

Dr Kerry Scott Green is licensed to practice in Arizona (license number 29662) 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 1801835350.

Contact Information

Dr Kerry Scott Green, MD
6112 E Brown Rd,
Mesa, AZ 85205-4955
(480) 924-4422
(480) 924-8822



Physician's Profile

Full NameDr Kerry Scott Green
GenderMale
SpecialityFamily Practice
Experience24 Years
Location6112 E Brown Rd, Mesa, Arizona
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:
  • Dr Kerry Scott Green attended and graduated from Wayne State University School Of Medicine in 2000
  NPI Data:
  • NPI Number: 1801835350
  • Provider Enumeration Date: 06/06/2006
  • Last Update Date: 10/25/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 5890770150
  • Enrollment ID: I20060316000444

Medical Identifiers

Medical identifiers for Dr Kerry Scott Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801835350NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 29662 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Baywood Medical CenterMesa, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bhsm Rehabilitation Llc20627731381258
Kerry S Green Md Plc34765387297

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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. Dr Kerry Scott Green allows following entities to bill medicare on his behalf.
Entity NameKerry S Green Md Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356523492
PECOS PAC ID: 3476538729
Enrollment ID: O20040621001436

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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. Dr Kerry Scott 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
Dr Kerry Scott Green, MD
6112 E Brown Rd,
Mesa, AZ 85205-4955

Ph: (480) 924-4422
Dr Kerry Scott Green, MD
6112 E Brown Rd,
Mesa, AZ 85205-4955

Ph: (480) 924-4422

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Family Medicine Doctors in Mesa, AZ

Dr. Jose Rapanan Jr., DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10032 E Southern Ave, Mesa, AZ 85209
Phone: 480-351-2850    
Jennifer Christine Fendler, NP
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 924 N Country Club Dr, Mesa, AZ 85201
Phone: 480-601-3528    
George Ting, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1111 N Stapley Dr, Mesa, AZ 85203
Phone: 480-464-8500    
Dr. Thomas P Porter, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1950 S Country Club Dr, Mesa, AZ 85210
Phone: 480-969-1446    Fax: 480-969-9105
Dana S Farris, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10238 E Hampton Ave Ste 506, Mesa, AZ 85209
Phone: 480-834-7546    Fax: 480-833-8313
Nancy Mucha, CNP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2843 N 89th St, Mesa, AZ 85207
Phone: 480-396-3482    
Ryan Elisabeth Romo,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1705 W Main St, Mesa, AZ 85201
Phone: 877-809-5092    

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