Dr Colleen Rochelle Black, MD in Harrisburg, NC

Dr Colleen Rochelle Black, MD is a medicare enrolled "Pediatrics" physician in Harrisburg, North Carolina. Her current practice location is 6555 Kee Ln Ste 200, Harrisburg, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 316-6140.

Dr Colleen Rochelle Black is licensed to practice in North Carolina (license number 2008-00927) 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 1508032194.

Contact Information

	Dr Colleen Rochelle Black, MD
	6555 Kee Ln Ste 200, Harrisburg, NC 28075-7463
	(704) 316-6140
	(704) 316-6141

Map and Direction

Physician's Profile

Full Name	Dr Colleen Rochelle Black
Gender	Female
Speciality	Pediatrics
Location	6555 Kee Ln Ste 200, Harrisburg, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508032194
Provider Enumeration Date: 05/02/2008
Last Update Date: 10/26/2020

Medicare PECOS Information:

PECOS PAC ID: 6305150186
Enrollment ID: I20180821003168

Medical Identifiers

Medical identifiers for Dr Colleen Rochelle Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508032194	NPI	-	NPPES
5916285	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2008-00927 (North Carolina)	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 Colleen Rochelle Black allows following entities to bill medicare on her behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

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 Colleen Rochelle 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
Dr Colleen Rochelle Black, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (844) 266-8268	Dr Colleen Rochelle Black, MD 6555 Kee Ln Ste 200, Harrisburg, NC 28075-7463 Ph: (704) 316-6140

Reviews and Comments

Pediatrics Doctors in Harrisburg, NC

Carol J Soucie, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6555 Kee Ln Ste 200, Harrisburg, NC 28075 Phone: 704-316-6140 Fax: 704-316-6141
Amirah Lachaune Shareef, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5427 Nc Highway 49 S, Ste 103, Harrisburg, NC 28075 Phone: 704-455-5565
Marianna Gagina, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5427 Nc Highway 49 S, Ste 103, Harrisburg, NC 28075 Phone: 704-455-5565
Erica Lauren Jones, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5427 Nc Highway 49 S, Ste 103, Harrisburg, NC 28075 Phone: 704-455-5565
Lasonya Jones, Pediatrics Medicare: Medicare Enrolled Practice Location: 5427 Highway 49 South, Harrisburg, NC 28075 Phone: 704-455-5565
Jubayer Ahmed, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 6555 Kee Ln Ste 200, Harrisburg, NC 28075 Phone: 704-316-6140 Fax: 704-316-6141

Dr Colleen Rochelle Black, MD - Medicare Pediatrics in Harrisburg, NC