Jerrold G Black, MD in Woodbridge, VA - Medicare Family Medicine

Jerrold G Black, MD is a medicare enrolled "Family Medicine" physician in Woodbridge, Virginia. His current practice location is 4167 Merchant Plz, Woodbridge, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 878-8800.

Jerrold G Black is licensed to practice in Indiana (license number 01063821A) 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 1104833904.

Contact Information

	Jerrold G Black, MD
	4167 Merchant Plz, Woodbridge, VA 22192-5088
	(703) 878-8800
	(703) 878-2133

Map and Direction

Physician's Profile

Full Name	Jerrold G Black
Gender	Male
Speciality	Family Medicine
Location	4167 Merchant Plz, Woodbridge, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104833904
Provider Enumeration Date: 08/02/2006
Last Update Date: 02/28/2011

Medicare PECOS Information:

PECOS PAC ID: 2961445655
Enrollment ID: I20110606000720

Medical Identifiers

Medical identifiers for Jerrold G Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104833904	NPI	-	NPPES
1104833904	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01063821A (Indiana)	Primary

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. Jerrold G Black allows following entities to bill medicare on his behalf.

Entity Name	Virginia Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487838652 PECOS PAC ID: 2062572456 Enrollment ID: O20081114000363

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. Jerrold G 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
Jerrold G Black, MD 4167 Merchant Plz, Woodbridge, VA 22192-5088 Ph: (703) 878-8800	Jerrold G Black, MD 4167 Merchant Plz, Woodbridge, VA 22192-5088 Ph: (703) 878-8800

Reviews and Comments

Family Medicine Doctors in Woodbridge, VA

Zahir Zoe Jimenez-tosado, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4379 Ridgewood Center Drive, #102, Woodbridge, VA 22192 Phone: 703-680-7950 Fax: 703-680-7953
Mrs. Peggy J Budnik, CFNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3401 Commission Ct, Ste 201, Woodbridge, VA 22192 Phone: 703-490-6265 Fax: 703-490-6713
Dr. Peter A Mendel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3401 Commission Ct, Suite 201, Woodbridge, VA 22192 Phone: 703-490-6265 Fax: 703-490-6713
James C Kent, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2200 Optiz Blvd, #235, Woodbridge, VA 22191 Phone: 703-491-4212 Fax: 703-491-0418
Dr. Raenell Williams, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4500 Pond Way, Ste 170, Woodbridge, VA 22192 Phone: 571-542-4950 Fax: 571-285-1160
Dr. Donald Lee Sargent, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 2241-m Tacketts Mill Drive, Woodbridge, VA 22192 Phone: 703-494-7530 Fax: 703-497-1682

Jerrold G Black, MD - Medicare Family Medicine in Woodbridge, VA