Jhared Black, DMD in Richton Park, IL - Medicare Dentist Provider

Jhared Black, DMD is a medicare enrolled "Dentist" provider in Richton Park, Illinois. His current practice location is 3677 Sauk Trl, Richton Park, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 481-2288.

Jhared Black is licensed to practice in Illinois (license number 019030918) 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 1578017505.

Contact Information

	Jhared Black, DMD
	3677 Sauk Trl, Richton Park, IL 60471-1461
	(708) 481-2288
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jhared Black
Gender	Male
Speciality	Dentist
Location	3677 Sauk Trl, Richton Park, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578017505
Provider Enumeration Date: 08/08/2016
Last Update Date: 10/31/2016

Medicare PECOS Information:

PECOS PAC ID: 3577970904
Enrollment ID: I20220627001761

Medical Identifiers

Medical identifiers for Jhared Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578017505	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	019030918 (Illinois)	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. Jhared Black allows following entities to bill medicare on his behalf.

Entity Name	Community Healthnet Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952332298 PECOS PAC ID: 6305852344 Enrollment ID: O20060228000318

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. Jhared 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 Address	Practice Location Address
Jhared Black, DMD 3677 Sauk Trl, Richton Park, IL 60471-1461 Ph: (708) 481-2288	Jhared Black, DMD 3677 Sauk Trl, Richton Park, IL 60471-1461 Ph: (708) 481-2288

Reviews and Comments

Dentist in Richton Park, IL

Dr. Robert B Smith, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4343 Sauk Trl, Richton Park, IL 60471 Phone: 708-748-8181 Fax: 708-748-6002
Dr. Russell Hayward Gertsch, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4343 Sauk Trl, Richton Park, IL 60471 Phone: 708-748-8181 Fax: 708-748-6002
Dr. Omar Kenneth Yeung, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 22117 Governors Hwy, Richton Park, IL 60471 Phone: 708-747-6610 Fax: 708-747-6703

Jhared Black, DMD - Medicare Dentist in Richton Park, IL