Dr Michael Lane Black, MD - Medicare Family Practice in Poland, OH

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Dr Michael Lane Black, MD is a medicare enrolled "Family Medicine" physician in Poland, Ohio. He went to Ohio State University College Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Poland Medical Center Ltd and his current practice location is 6615 Clingan Road, Suite A, Poland, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 707-1425.

Dr Michael Lane Black is licensed to practice in Ohio (license number 35069367) 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 1497730857.

Contact Information

Dr Michael Lane Black, MD
6615 Clingan Road, Suite A,
Poland, OH 44514-4202
(330) 707-1425
(330) 757-2814

Map and Direction




Physician's Profile

Full NameDr Michael Lane Black
GenderMale
SpecialityFamily Practice
Experience30 Years
Location6615 Clingan Road, Poland, Ohio
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 Michael Lane Black attended and graduated from Ohio State University College Of Medicine in 1994
  NPI Data:
  • NPI Number: 1497730857
  • Provider Enumeration Date: 12/08/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6305845280
  • Enrollment ID: I20061205000081

Medical Identifiers

Medical identifiers for Dr Michael Lane Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497730857NPI-NPPES
35069367OtherOHLICENSE
2104752MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 35069367 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Elizabeth Youngstown HospitalYoungstown, OHHospital
Hmhp St Elizabeth Boardman Health CenterBoardman, OHHospital
Surgical Hospital At SouthwoodsYoungstown, OHHospital
Masternick Memorial Health Care CenterNew middletown, OHNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Poland Medical Center Ltd36785725599

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 Michael Lane Black allows following entities to bill medicare on his behalf.
Entity NamePoland Medical Center Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346338142
PECOS PAC ID: 3678572559
Enrollment ID: O20061205000006

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 Michael Lane 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 Michael Lane Black, MD
6615 Clingan Road, Suite A,
Poland, OH 44514-4202

Ph: (330) 707-1425		Dr Michael Lane Black, MD
6615 Clingan Road, Suite A,
Poland, OH 44514-4202

Ph: (330) 707-1425

Reviews and Comments


Family Medicine Doctors in Poland, OH

Dr. Sandy P Naples, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6615 Clingan Rd, Suite C, Poland, OH 44514
Phone: 330-757-7888    Fax: 330-757-4912
Dr. Michael Bogan Evan, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6615 Clingan Road, Suite A, Poland, OH 44514
Phone: 330-707-1425    Fax: 330-757-2814
Dr. Walter J Passarello, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6615 Clingan Rd, Suite C, Poland, OH 44514
Phone: 330-757-7888    Fax: 330-757-4912
Dr. Michael Joseph O'brien Jr., M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6615 Clingan Road, Suite A, Poland, OH 44514
Phone: 330-707-1425    Fax: 330-757-2814
Dr. Milton Sanchez-parodi, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1975 E Western Reserve Rd, Unit A-4, Poland, OH 44514
Phone: 330-757-8900    Fax: 330-757-8960
Mr. Nino C Rubino, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6615 Clingan Rd, Suite C, Poland, OH 44514
Phone: 330-757-7888    Fax: 330-757-4912

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.