Kevin Benjamin Black Jr, MD - Medicare Family Medicine in Orlando, FL

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Kevin Benjamin Black Jr, MD is a medicare enrolled "Family Medicine" physician in Orlando, Florida. His current practice location is 8793 Commodity Cir, Orlando, Florida. You can reach out to his office (for appointments etc.) via phone at (407) 351-8200.

Kevin Benjamin Black Jr is licensed to practice in Florida (license number ME161739) 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 1710514591.

Contact Information

Kevin Benjamin Black Jr, MD
8793 Commodity Cir,
Orlando, FL 32819-9005
(407) 351-8200
(407) 351-7696

Map and Direction




Physician's Profile

Full NameKevin Benjamin Black Jr
GenderMale
SpecialityFamily Medicine
Location8793 Commodity Cir, Orlando, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710514591
  • Provider Enumeration Date: 03/24/2020
  • Last Update Date: 08/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6305207051
  • Enrollment ID: I20230728000381

Medical Identifiers

Medical identifiers for Kevin Benjamin Black Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710514591NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ME161739 (Florida)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))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. Kevin Benjamin Black Jr allows following entities to bill medicare on his behalf.
Entity NameOrlando Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568693554
PECOS PAC ID: 7719026251
Enrollment ID: O20091123000506

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. Kevin Benjamin Black Jr 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
Kevin Benjamin Black Jr, MD
8793 Commodity Cir,
Orlando, FL 32819-9005

Ph: (407) 351-8200		Kevin Benjamin Black Jr, MD
8793 Commodity Cir,
Orlando, FL 32819-9005

Ph: (407) 351-8200

Reviews and Comments


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Dr. Cristina P Garcia, MD
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Dr. Sandra Ivelisse Alvarez, M.D.
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Tayyaba Nadir Tariq, MD
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Dr. Keith Allan Campbell, M.D.
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Dr. Orlando L Vega, M.D.
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Practice Location: 7727 Lake Underhill Rd, Orlando, FL 32822
Phone: 407-440-3004    Fax: 407-429-3899

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.