Michael B Black, MD | |
1613 Harrison Pkwy, #200, Sunrise, FL 33323-2853 | |
(954) 838-2371 | |
(951) 851-1758 |
Full Name | Michael B Black |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 30 Years |
Location | 1613 Harrison Pkwy, Sunrise, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669446167 | NPI | - | NPPES |
260780800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | ME81928 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Fawcett Memorial Hospital | Port charlotte, FL | Hospital |
Wellington Regional Medical Center Llc | Wellington, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sheridan Healthcorp Inc | 3173429693 | 837 |
Sunshine State Anesthesia Partners Llc | 8123434792 | 365 |
Entity Name | Sheridan Healthcorp Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
Entity Name | Jupiter Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700073848 PECOS PAC ID: 0547348211 Enrollment ID: O20080421000429 |
Entity Name | Coral Anesthesia Associates, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417221771 PECOS PAC ID: 5193986131 Enrollment ID: O20120418000314 |
Entity Name | Anesthesia Physician Solutions Of South Florida, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104248699 PECOS PAC ID: 4688805286 Enrollment ID: O20140325000665 |
Entity Name | Sunshine State Anesthesia Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
Entity Name | Anesthesia Medicine Services Of Fl Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346947496 PECOS PAC ID: 9537524343 Enrollment ID: O20230501002203 |
Mailing Address | Practice Location Address |
---|---|
Michael B Black, MD 12598 Pink Myrtle Ct, Boynton Beach, FL 33473-7127 Ph: (954) 288-6500 | Michael B Black, MD 1613 Harrison Pkwy, #200, Sunrise, FL 33323-2853 Ph: (954) 838-2371 |
James M. Cogdill, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Pedro R. Fernandez, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Nicholas M. Vuong, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Skiles (sam) A. Montague, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
W. Vincent Picolo, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Dilsheesh K Purewal, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 2120 Nw 107th Ter, Sunrise, FL 33322 Phone: 954-741-0636 Fax: 954-741-0639 | |
Roger L. Duncan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2667 |