Mariana Tristao Green, CNM - Medicare Advanced Practice Midwife in Lancaster, PA

Mariana Tristao Green, CNM is a medicare enrolled "Advanced Practice Midwife" physician in Lancaster, Pennsylvania. Her current practice location is 694 Good Dr, Lancaster, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 397-8177.

Mariana Tristao Green is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1730952128.

Contact Information

Mariana Tristao Green, CNM
694 Good Dr,
Lancaster, PA 17601-2433
(717) 397-8177
Not Available



Physician's Profile

Full NameMariana Tristao Green
GenderFemale
SpecialityAdvanced Practice Midwife
Location694 Good Dr, Lancaster, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730952128
  • Provider Enumeration Date: 11/06/2023
  • Last Update Date: 11/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7113378605
  • Enrollment ID: I20240109003027

Medical Identifiers

Medical identifiers for Mariana Tristao Green such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730952128NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology MW010760 (Pennsylvania)Secondary
367A00000XAdvanced Practice Midwife (* (Not Available))Primary

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. Mariana Tristao Green allows following entities to bill medicare on her behalf.
Entity NameSusquehanna Valley Womens Health Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952398125
PECOS PAC ID: 8527056670
Enrollment ID: O20040505001438

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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. Mariana Tristao 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
Mariana Tristao Green, CNM
5024 Constitution Ave,
Harrisburg, PA 17109-5552

Ph: (239) 825-0345
Mariana Tristao Green, CNM
694 Good Dr,
Lancaster, PA 17601-2433

Ph: (717) 397-8177

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