Green Sports Medicine, Inc. - Medicare Primary Care in Clovis, CA

Green Sports Medicine, Inc. is a medicare enrolled primary clinic (Family Medicine - Sports Medicine) in Clovis, California. The current practice location for Green Sports Medicine, Inc. is 2021 Herndon Ave Ste 201, Clovis, California. For appointments, you can reach them via phone at (559) 981-5566. The mailing address for Green Sports Medicine, Inc. is 7471 N Fresno St, Fresno, California and phone number is (559) 981-5566.

Green Sports Medicine, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1396210563. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (559) 981-5566.

Contact Information

Green Sports Medicine, Inc.
2021 Herndon Ave Ste 201
Clovis
CA 93611-6101
(559) 981-5566
(559) 228-9989

Primary Care Clinic Profile

Full NameGreen Sports Medicine, Inc.
SpecialityFamily Medicine
Location2021 Herndon Ave Ste 201, Clovis, California
Authorized Official Name and PositionErick Green (MD)
Authorized Official Contact5598133005
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Green Sports Medicine, Inc.
7471 N Fresno St
Fresno
CA 93720-2457

Ph: (559) 981-5566
Green Sports Medicine, Inc.
2021 Herndon Ave Ste 201
Clovis
CA 93611-6101

Ph: (559) 981-5566

NPI Details:

NPI Number1396210563
Provider Enumeration Date10/03/2018
Last Update Date11/18/2019

Medicare PECOS Information:

Medicare PECOS PAC ID2264764919
Medicare Enrollment IDO20191029002668

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Medical Identifiers

Medical identifiers for Green Sports Medicine, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396210563NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207QS0010XFamily Medicine - Sports Medicine (* (Not Available))Primary
207XX0005XOrthopaedic Surgery - Sports Medicine (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Green Sports Medicine, Inc. acts as a billing entity for following providers:
Provider NameErick J Green
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1821371022
PECOS PAC ID: 4385816289
Enrollment ID: I20140724000820

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