Michael Jason Black, MD in Appleton, WI - Medicare General Surgery

Michael Jason Black, MD is a medicare enrolled "Surgery" physician in Appleton, Wisconsin. He went to Medical College Of Wisconsin and graduated in 2002 and has 22 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Fox Valley Surgical Associates Ltd and his current practice location is 1818 N Meade St, Suite 240 West, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 731-8131.

Michael Jason Black is licensed to practice in Wisconsin (license number 46688-020) 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 1720036387.

Contact Information

	Michael Jason Black, MD
	1818 N Meade St, Suite 240 West, Appleton, WI 54911-3496
	(920) 731-8131
	(920) 832-0444

Map and Direction

Physician's Profile

Full Name	Michael Jason Black
Gender	Male
Speciality	General Surgery
Experience	22 Years
Location	1818 N Meade St, Appleton, Wisconsin
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:

Michael Jason Black attended and graduated from Medical College Of Wisconsin in 2002

NPI Data:

NPI Number: 1720036387
Provider Enumeration Date: 05/05/2006
Last Update Date: 10/27/2008

Medicare PECOS Information:

PECOS PAC ID: 9931293958
Enrollment ID: I20081010000327

Medical Identifiers

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

Identifier	Type	State	Issuer
1720036387	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	46688 (Wisconsin)	Secondary
208600000X	Surgery	46688-020 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Thedacare Regional Medical Center - Appleton Inc	Appleton, WI	Hospital
Thedacare Regional Med Ctr - Neenah	Neenah, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fox Valley Surgical Associates Ltd	7911971296	28

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. Michael Jason Black allows following entities to bill medicare on his behalf.

Entity Name	Fox Valley Surgical Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376594952 PECOS PAC ID: 7911971296 Enrollment ID: O20040823000907

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. Michael Jason 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
Michael Jason Black, MD 1818 N Meade St, Suite 240 West, Appleton, WI 54911-3496 Ph: (920) 731-8131	Michael Jason Black, MD 1818 N Meade St, Suite 240 West, Appleton, WI 54911-3496 Ph: (920) 731-8131

Reviews and Comments

Surgery Doctors in Appleton, WI

Philip Anthony Vogt, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1818 N Meade St, Ste 240- West, Appleton, WI 54911 Phone: 920-731-8289 Fax: 920-832-0444
Dr. Maykong Leepalao, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 S Madison St, Appleton, WI 54915 Phone: 920-730-4435
Dr. Alexander Spencer Tretinyak, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Suite 240 West, Appleton, WI 54911 Phone: 920-731-8131 Fax: 920-832-0444
Beth R Krieger, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St, Suite 240 West, Appleton, WI 54911 Phone: 920-731-8289 Fax: 920-832-0444
Janeil Mitchell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1818 N Meade St # 240w, Appleton, WI 54911 Phone: 920-731-8131
Ping D Lady, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 S Madison St, Appleton, WI 54915 Phone: 920-730-4435
Tina M. Sauerhammer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2700 E Enterprise Ave Ste A, Appleton, WI 54913 Phone: 920-965-1234

Michael Jason Black, MD - Medicare General Surgery in Appleton, WI