Mr Lehman Ernest Black Iii, MD - Medicare Pediatrics in Sacramento, CA

Mr Lehman Ernest Black Iii, MD is a medicare enrolled "Pediatrics" physician in Sacramento, California. His current practice location is 2825 Capitol Ave Rm 1s118, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at (916) 887-0104.

Mr Lehman Ernest Black Iii is licensed to practice in California (license number G64472) 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 1871585489.

Contact Information

Mr Lehman Ernest Black Iii, MD
2825 Capitol Ave Rm 1s118,
Sacramento, CA 95816-6039
(916) 887-0104
(916) 887-0104

Map and Direction




Physician's Profile

Full NameMr Lehman Ernest Black Iii
GenderMale
SpecialityPediatrics
Location2825 Capitol Ave Rm 1s118, Sacramento, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871585489
  • Provider Enumeration Date: 08/19/2005
  • Last Update Date: 12/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3375513278
  • Enrollment ID: I20230109002396

Medical Identifiers

Medical identifiers for Mr Lehman Ernest Black Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871585489NPI-NPPES
006644720MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0203XPediatrics - Pediatric Critical Care Medicine G64472 (California)Secondary
208000000XPediatrics G64472 (California)Primary

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. Mr Lehman Ernest Black Iii 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
Mr Lehman Ernest Black Iii, MD
2564 Marshall Way,
Sacramento, CA 95818-3520

Ph: (916) 812-4410
Mr Lehman Ernest Black Iii, MD
2825 Capitol Ave Rm 1s118,
Sacramento, CA 95816-6039

Ph: (916) 887-0104

Reviews and Comments


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