Dr Layne Bedford Green, MD in Elmendorf Afb, AK - Medicare Dermatology

Dr Layne Bedford Green, MD is a medicare enrolled "Dermatology" physician in Elmendorf Afb, Alaska. His current practice location is 5955 Zeamer Ave Ste 1, Elmendorf Afb, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 580-2538.

Dr Layne Bedford Green is licensed to practice in Idaho (license number M-10075) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669669867.

Contact Information

	Dr Layne Bedford Green, MD
	5955 Zeamer Ave Ste 1, Elmendorf Afb, AK 99506-3702
	(907) 580-2538
	(907) 580-2505

Physician's Profile

Full Name	Dr Layne Bedford Green
Gender	Male
Speciality	Dermatology
Location	5955 Zeamer Ave Ste 1, Elmendorf Afb, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669669867
Provider Enumeration Date: 10/02/2007
Last Update Date: 10/17/2019

Medicare PECOS Information:

PECOS PAC ID: 3072936491
Enrollment ID: I20200701003225

Medical Identifiers

Medical identifiers for Dr Layne Bedford Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669669867	NPI	-	NPPES
M-10075	Other	ID	STATE LICENCE #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	M-10075 (Idaho)	Secondary
207N00000X	Dermatology	M-10075 (Idaho)	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. Dr Layne Bedford 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
Dr Layne Bedford Green, MD 5955 Zeamer Ave, Anchorage, AK 99506-3702 Ph: (907) 580-2538	Dr Layne Bedford Green, MD 5955 Zeamer Ave Ste 1, Elmendorf Afb, AK 99506-3702 Ph: (907) 580-2538

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Dr Layne Bedford Green, MD - Medicare Dermatology in Elmendorf Afb, AK