Kyler Black, MD in Roosevelt, UT - Medicare Internal Medicine

Kyler Black, MD is a medicare enrolled "Internal Medicine" physician in Roosevelt, Utah. He went to Texas Tech University Health Science Center School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Uintah Basin Medical Center, Northeastern Utah Medical Group and his current practice location is 250 W 300 N, Roosevelt, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 722-4691.

Kyler Black is licensed to practice in Utah (license number 12304561-1205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1518499268.

Contact Information

	Kyler Black, MD
	250 W 300 N, Roosevelt, UT 84066-2336
	(435) 722-4691
	Not Available

Map and Direction

Physician's Profile

Full Name	Kyler Black
Gender	Male
Speciality	Internal Medicine
Experience	7 Years
Location	250 W 300 N, Roosevelt, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kyler Black attended and graduated from Texas Tech University Health Science Center School Of Medicine in 2017

NPI Data:

NPI Number: 1518499268
Provider Enumeration Date: 03/31/2017
Last Update Date: 07/28/2021

Medicare PECOS Information:

PECOS PAC ID: 1658775622
Enrollment ID: I20210812002817

Medical Identifiers

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

Identifier	Type	State	Issuer
1518499268	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	12304561-1205 (Utah)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207R00000X	Internal Medicine	12304561-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Canyon Home Care	Salt lake city, UT	Home health agency
Uintah Basin Medical Center	Roosevelt, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Uintah Basin Medical Center	0244131944	56
Northeastern Utah Medical Group	2961496609	42

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. Kyler Black allows following entities to bill medicare on his behalf.

Entity Name	Uintah Basin Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871556217 PECOS PAC ID: 0244131944 Enrollment ID: O20040226000948

Entity Name	Northeastern Utah Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982664199 PECOS PAC ID: 2961496609 Enrollment ID: O20040414000471

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. Kyler 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
Kyler Black, MD 250 W 300 N, Roosevelt, UT 84066-2336 Ph: () -	Kyler Black, MD 250 W 300 N, Roosevelt, UT 84066-2336 Ph: (435) 722-4691

Reviews and Comments

Internal Medicine Doctors in Roosevelt, UT

Laura Duncan, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 250 W 300 N, Roosevelt, UT 84066 Phone: 435-722-6163 Fax: 435-722-9291
Dr. Gregory L Staker, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 W 300 N 75-3, Roosevelt, UT 84066 Phone: 435-722-3971 Fax: 435-722-6104
Dr. Kent E Smith, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 W 300 N, 75-3, Roosevelt, UT 84066 Phone: 435-722-3971 Fax: 435-722-6104

Kyler Black, MD - Medicare Internal Medicine in Roosevelt, UT