James R Black, MD is a medicare enrolled "Emergency Medicine" physician in Laurium, Michigan. His current practice location is
205 Osceola St, Laurium, Michigan. You can reach out to his office (for appointments etc.) via phone at
(906) 337-6500.
James R Black is licensed to practice in Michigan (license number 4301046513) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871661868.
Physician's Profile
| Full Name | James R Black |
|---|
| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 205 Osceola St, Laurium, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871661868
- Provider Enumeration Date: 11/30/2006
- Last Update Date: 12/10/2014
Medicare PECOS Information:
- PECOS PAC ID: 9436474731
- Enrollment ID: I20150209000657
Medical Identifiers
Medical identifiers for James R Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871661868 | NPI | - | NPPES |
| 010C17613 | Other | MI | BLUE CROSS |
| 2646217 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 43046513 (Michigan) | Secondary |
| 207P00000X | Emergency Medicine | 4301046513 (Michigan) | Primary |
| 208000000X | Pediatrics | 4301046513 (Michigan) | Secondary |
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. James R Black allows following entities to bill medicare on his behalf.
| Entity Name | Aspirus Ironwood Hospital & Clinics Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992704753
PECOS PAC ID: 9032013198
Enrollment ID: O20031121000096 |
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| Entity Name | Aspirus Keweenaw |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205998713
PECOS PAC ID: 8123912011
Enrollment ID: O20040211000763 |
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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. James R 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 |
|---|
James R Black, MD
205 Osceola St,
Laurium, MI 49913-2134
Ph: (906) 337-6500 | James R Black, MD
205 Osceola St,
Laurium, MI 49913-2134
Ph: (906) 337-6500 |
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