Jennifer K Black, NP is a medicare enrolled "Nurse Practitioner - Adult Health" physician in Springfield, Illinois. Her current practice location is
619 E Mason St, Suite 4p57, Springfield, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 788-0706.
Jennifer K Black is licensed to practice in Illinois (license number 209002373) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174607576.
Physician's Profile
Full Name | Jennifer K Black |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 619 E Mason St, Springfield, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jennifer K Black attended and graduated from in
NPI Data:
- NPI Number: 1174607576
- Provider Enumeration Date: 10/24/2006
- Last Update Date: 12/20/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Jennifer K Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174607576 | NPI | - | NPPES |
596500 | Other | IL | RAILROAD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RI0011X | Internal Medicine - Interventional Cardiology | 209002373 (Illinois) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 209002373 (Illinois) | Primary |
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. Jennifer K 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 |
Jennifer K Black, NP Po Box 19420, Springfield, IL 62794-9420 Ph: (217) 788-0706 | Jennifer K Black, NP 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 Ph: (217) 788-0706 |
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