Matthew L Black, MS, RDN, LD | |
160 W Wilson Bridge Rd, Worthington, OH 43085-2676 | |
(614) 293-5123 | |
(614) 293-4980 |
Full Name | Matthew L Black |
---|---|
Gender | Male |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 19 Years |
Location | 160 W Wilson Bridge Rd, Worthington, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366922247 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 5343 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osu General Internal Medicine Llc | 7517103955 | 237 |
Provider Name | Osu Family Practice Services |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659339653 PECOS PAC ID: 9032023874 Enrollment ID: O20031117000511 |
Provider Name | Osu General Internal Medicine Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1689919599 PECOS PAC ID: 7517103955 Enrollment ID: O20130409000603 |
Mailing Address | Practice Location Address |
---|---|
Matthew L Black, MS, RDN, LD 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (614) 293-5123 | Matthew L Black, MS, RDN, LD 160 W Wilson Bridge Rd, Worthington, OH 43085-2676 Ph: (614) 293-5123 |
Miss Taylor Lechner, Dietitian Medicare: Medicare Enrolled Practice Location: 958 Mae Christine Dr, Apt. 207, Worthington, OH 43085 Phone: 260-417-8632 | |
Diana Bowers, PHD, RN, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 404 E Wilson Bridge Rd, Worthington, OH 43085 Phone: 614-566-0850 | |
Mrs. Summer Geneva Van Arsdale, RD, CSR, CCTD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 357 E North St, Worthington, OH 43085 Phone: 520-249-1308 | |
Dr. Maureen R Latanick, PHD, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 37 E Wilson Bridge Rd, Suite 270, Worthington, OH 43085 Phone: 614-396-6730 Fax: 614-396-6734 | |
Leah Mako, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 445 E Dublin Granville Rd, Bldg N, Worthington, OH 43085 Phone: 614-293-9204 Fax: 614-293-9549 | |
Sonja A Stotz, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 445 E Dublin Granville Rd, Bldg N, Worthington, OH 43085 Phone: 614-293-9550 Fax: 614-293-9549 |