Dr Ryan Madsen Black, DO - Medicare Emergency Medicine in Farmington Hills, MI

  1. Home
  2. Emergency Medicine
  3. MI
  4. Farmington Hills
Dr Ryan Madsen Black, DO is a medicare enrolled "Emergency Medicine" physician in Farmington Hills, Michigan. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Utah Emergency Physicians and his current practice location is 28050 Grand River Ave, Farmington Hills, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 471-8822.

Dr Ryan Madsen Black is licensed to practice in Michigan (license number 5101019906) 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 1780945832.

Contact Information

Dr Ryan Madsen Black, DO
28050 Grand River Ave,
Farmington Hills, MI 48336-5919
(248) 471-8822
(248) 471-8837

Map and Direction




Physician's Profile

Full NameDr Ryan Madsen Black
GenderMale
SpecialityEmergency Medicine
Experience12 Years
Location28050 Grand River Ave, Farmington Hills, Michigan
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 Ryan Madsen Black graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1780945832
  • Provider Enumeration Date: 06/05/2012
  • Last Update Date: 06/05/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2163719295
  • Enrollment ID: I20160916002280

Medical Identifiers

Medical identifiers for Dr Ryan Madsen Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780945832NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 5101019906 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Riverton HospitalRiverton, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Utah Emergency Physicians1153307277124

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 Ryan Madsen Black allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079
Entity NameUtah Emergency Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588048979
PECOS PAC ID: 1153307277
Enrollment ID: O20040628001454

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 Ryan Madsen 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 Ryan Madsen Black, DO
527 S Moss Hill Dr,
Bountiful, UT 84010-1429

Ph: () -		Dr Ryan Madsen Black, DO
28050 Grand River Ave,
Farmington Hills, MI 48336-5919

Ph: (248) 471-8822

Reviews and Comments


Emergency Medicine Doctors in Farmington Hills, MI

Christine Carline, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336
Phone: 947-521-8000    
Diane L Kaiser, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 28050 Grand River Avenue, Farmington Hills, MI 48336
Phone: 248-471-8000    
Richard W Traicoff, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 28050 Grand River Avenue, Er Department, Farmington Hills, MI 48336
Phone: 248-471-8000    
Iven Thair Ayyar, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336
Phone: 947-521-8822    
Dr. Paul Marvin Pustinger, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336
Phone: 248-471-8000    
Dr. Shradha Shah, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 28050 Grand River Ave, Botsford Hospital Emergency Department, Farmington Hills, MI 48336
Phone: 248-471-8808    
Dr. Kirsten Young, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 28050 Grand River Ave, Farmington Hills, MI 48336
Phone: 248-471-8000    

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.