Phil Green, PAC

ActiveIndividual ProviderFamily Medicine
NPI issued: June 27, 2005

Quick Facts

NPI Number
1083610752
TypeIndividual
StatusActive
SpecialtyFamily Medicine
Taxonomy207Q00000X — Family Medicine
Phone
(580) 363-0052
StateOK

NPI Validation Status: Verified

Valid 10-digit NPI number (1083610752)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 27, 2005)
Data source: CMS NPPES

Provider Overview

PHIL GREEN, PAC is a Family Medicine provider based in Blackwell, OK who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1083610752
Provider TypeIndividual Provider
GenderMale
CredentialPAC
StatusActive
Enumeration DateJune 27, 2005

Practice Location

CityBlackwell
StateOK
ZIP Code74631-5602
Phone(580) 363-0052

Specialties & Licenses

★ Primary
SpecialtyFamily Medicine
Taxonomy Code207Q00000X
License StateOK

Mailing Address

CityBlackwell
StateOK
ZIP Code74631-5602
Phone(580) 363-0052
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1083610752 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1083610752for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1083610752 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Family Medicine

Family Medicine physicians provide comprehensive primary care to patients of all ages, managing acute illnesses, tracking chronic conditions, and emphasizing preventive healthcare.

📊
199,317
Family Medicine Providers in the US

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People Also Ask

What is Phil Green's NPI number?
Phil Green's NPI number is 1083610752, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Phil Green's NPI currently active?
Yes, Phil Green's NPI status is Active as of the latest CMS NPPES database updates.
What does Phil Green specialize in?
Phil Green specializes in Family Medicine. The healthcare taxonomy code associated with this specialty is 207Q00000X.
Where does Phil Green practice?
Phil Green practices in Blackwell, OK 74631-5602.
When was Phil Green's NPI issued?
Phil Green's NPI was issued on June 27, 2005.
What is Phil Green's provider type?
Phil Green is registered as an Individual Provider under CMS NPI Type 1.