Lily Ann Black, MD - Medicare Family Medicine in Roslindale, MA

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Lily Ann Black, MD is a medicare enrolled "Family Medicine" physician in Roslindale, Massachusetts. Her current practice location is 4199 Washington St, Roslindale, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (405) 821-1155.

Lily Ann Black is licensed to practice in Massachusetts (license number 1016219) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609495514.

Contact Information

Lily Ann Black, MD
4199 Washington St,
Roslindale, MA 02131-1733
(405) 821-1155
Not Available

Map and Direction




Physician's Profile

Full NameLily Ann Black
GenderFemale
SpecialityFamily Medicine
Location4199 Washington St, Roslindale, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609495514
  • Provider Enumeration Date: 04/10/2020
  • Last Update Date: 04/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7810319621
  • Enrollment ID: I20231020001509

Medical Identifiers

Medical identifiers for Lily Ann Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609495514NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 1016219 (Massachusetts)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. Lily Ann Black allows following entities to bill medicare on her behalf.
Entity NameBoston University Family Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134166390
PECOS PAC ID: 0446154074
Enrollment ID: O20031125000010
Entity NameChild Health Foundation Of Boston Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619969920
PECOS PAC ID: 1557263340
Enrollment ID: O20040122000712
Entity NameBoston Medical Center Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386718823
PECOS PAC ID: 0547222051
Enrollment ID: O20050531000034
Entity NameBoston University Obstetrics And Gynecology Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063459568
PECOS PAC ID: 1456323153
Enrollment ID: O20070525000149

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. Lily Ann 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 AddressPractice Location Address
Lily Ann Black, MD
4199 Washington St,
Roslindale, MA 02131-1733

Ph: (405) 821-1155		Lily Ann Black, MD
4199 Washington St,
Roslindale, MA 02131-1733

Ph: (405) 821-1155

Reviews and Comments


Family Medicine Doctors in Roslindale, MA

Mary Woodward, NP
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1200 Centre St, Department Of Medicine, Roslindale, MA 02131
Phone: 617-363-8449    
Dr. Joseph Albert Ackil, D.O.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1 Corinth St, Roslindale, MA 02131
Phone: 617-327-3450    Fax: 617-327-0573
Dr. Camille Nakita Rivers, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4199 Washington Street, Roslindale, MA 02131
Phone: 617-323-4440    
Mr. Ilia J Coka, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4199 Washington St, Roslindale, MA 02131
Phone: 617-323-4440    Fax: 617-323-7870
Ms. Olivia Justine Liff, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Centre St, Roslindale, MA 02131
Phone: 617-363-8010    Fax: 617-363-8929
Ms. Carol A Oneil, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4199 Washington St, Roslindale, MA 02131
Phone: 617-323-4440    Fax: 617-323-7870
Dr. James Constantinos Salemis, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 149 Belgrade Ave, Roslindale, MA 02131
Phone: 617-327-4698    Fax: 617-327-9587

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.