Dr Evan George Black, MD - Medicare Neurology in Murray, UT

Dr Evan George Black, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Murray, Utah. He went to University Of Utah School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Neurology. He is a member of the group practice St Lukes Clinic-treasure Valley Llc and his current practice location is 5323 Woodrow St, #201, Murray, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 261-4711.

Dr Evan George Black is licensed to practice in Oregon (license number MD205738) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346260247.

Contact Information

Dr Evan George Black, MD
5323 Woodrow St, #201,
Murray, UT 84107-5841
(801) 261-4711
(801) 261-4769

Map and Direction




Physician's Profile

Full NameDr Evan George Black
GenderMale
SpecialityNeurology
Experience33 Years
Location5323 Woodrow St, Murray, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Evan George Black attended and graduated from University Of Utah School Of Medicine in 1991
  NPI Data:
  • NPI Number: 1346260247
  • Provider Enumeration Date: 07/20/2006
  • Last Update Date: 01/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6103724554
  • Enrollment ID: I20200304000413

Medical Identifiers

Medical identifiers for Dr Evan George Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346260247NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology MD476184 (Pennsylvania)Secondary
2084N0400XPsychiatry & Neurology - Neurology 187597-1205 (Utah)Secondary
2084N0400XPsychiatry & Neurology - Neurology 21619 (New Hampshire)Secondary
2084N0400XPsychiatry & Neurology - Neurology 99622 (Montana)Secondary
2084N0400XPsychiatry & Neurology - Neurology 89191 (Georgia)Secondary
2084N0400XPsychiatry & Neurology - Neurology MD205738 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic-treasure Valley Llc4981878402991

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 Evan George Black allows following entities to bill medicare on his behalf.
Entity NameSt Lukes Clinic-treasure Valley Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326336058
PECOS PAC ID: 4981878402
Enrollment ID: O20111119000045

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 Evan George 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 Evan George Black, MD
5323 Woodrow St, #201,
Murray, UT 84107-5841

Ph: (801) 261-4711
Dr Evan George Black, MD
5323 Woodrow St, #201,
Murray, UT 84107-5841

Ph: (801) 261-4711

Reviews and Comments


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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.