Katherine Ward Black, MD is a medicare enrolled "Dermatology" physician in Arden Hills, Minnesota. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Healthpartners Medical Group and her current practice location is
3930 Northwoods Dr, Arden Hills, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 523-8500.
Katherine Ward Black is licensed to practice in Minnesota (license number 58487) 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 1699041848.
Physician's Profile
Full Name | Katherine Ward Black |
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Gender | Female |
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Speciality | Dermatology |
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Experience | 12 Years |
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Location | 3930 Northwoods Dr, Arden Hills, Minnesota |
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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:
- Katherine Ward Black graduated from medical school in 2012
NPI Data:
- NPI Number: 1699041848
- Provider Enumeration Date: 03/31/2012
- Last Update Date: 04/02/2018
Medicare PECOS Information:
- PECOS PAC ID: 9436454865
- Enrollment ID: I20160920002889
Medical Identifiers
Medical identifiers for Katherine Ward Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699041848 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 58487 (Minnesota) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Healthpartners Medical Group | 1759293954 | 1429 |
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. Katherine Ward Black allows following entities to bill medicare on her behalf.
Entity Name | Group Health Plan Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
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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. Katherine Ward 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 |
Katherine Ward Black, MD 8170 33rd Ave S # Ms 21110q, Minneapolis, MN 55425-4516 Ph: (651) 523-8500 | Katherine Ward Black, MD 3930 Northwoods Dr, Arden Hills, MN 55112-6963 Ph: (651) 523-8500 |
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