Dr Jennifer Michelle Black, DDS - Medicare Dentist in Council Bluffs, IA

Dr Jennifer Michelle Black, DDS is a medicare enrolled "Dentist - General Practice" provider in Council Bluffs, Iowa. Her current practice location is 902 S 6th St, Council Bluffs, Iowa. You can reach out to her office (for appointments etc.) via phone at (712) 325-1990.

Dr Jennifer Michelle Black is licensed to practice in Iowa (license number 08831) 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 1356638910.

Contact Information

Dr Jennifer Michelle Black, DDS
902 S 6th St,
Council Bluffs, IA 51501-6441
(712) 325-1990
(712) 352-1183

Map and Direction




Healthcare Provider's Profile

Full NameDr Jennifer Michelle Black
GenderFemale
SpecialityDentist - General Practice
Location902 S 6th St, Council Bluffs, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356638910
  • Provider Enumeration Date: 07/05/2011
  • Last Update Date: 10/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5395130710
  • Enrollment ID: I20220322002833

Medical Identifiers

Medical identifiers for Dr Jennifer Michelle Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356638910NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 08831 (Iowa)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. Dr Jennifer Michelle Black allows following entities to bill medicare on her behalf.
Entity NameAll Care Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114906906
PECOS PAC ID: 0547241390
Enrollment ID: O20040527000070
Entity NameAria Dental Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942977632
PECOS PAC ID: 6406211895
Enrollment ID: O20230509001132

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 Jennifer Michelle Black 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 Jennifer Michelle Black, DDS
902 S 6th St,
Council Bluffs, IA 51501-6441

Ph: (712) 325-1990
Dr Jennifer Michelle Black, DDS
902 S 6th St,
Council Bluffs, IA 51501-6441

Ph: (712) 325-1990

Reviews and Comments


Dentist in Council Bluffs, IA

Dr. Kara Mullins, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1026 Woodbury Ave, Council Bluffs, IA 51503
Phone: 712-847-8151    
Dr. Edward B. Murray Jr., D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 40 Northcrest Dr, Ste. 1, Council Bluffs, IA 51503
Phone: 712-328-9605    Fax: 712-328-9608
Zachary Dean Schufeldt, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1860 Madison Ave Ste 4, Council Bluffs, IA 51503
Phone: 712-256-6263    
Dr. Gary Alfred Smith, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2612 W Broadway, Council Bluffs, IA 51501
Phone: 712-323-3615    Fax: 712-325-6155
Thomas Kimberly, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1509 Avenue G, Council Bluffs, IA 51501
Phone: 712-325-1544    
Dr. Michael Anthony Rensch, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1601 Mcpherson Ave, Council Bluffs, IA 51503
Phone: 712-328-1810    Fax: 712-322-9857
William J Braymen, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 179 Bennett Ave, Council Bluffs, IA 51503
Phone: 712-322-2231    Fax: 712-322-6853

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.