Robert Leo Black Jr, MD in Urbana, IL - Medicare Emergency Medicine

Robert Leo Black Jr, MD is a medicare enrolled "Emergency Medicine" physician in Urbana, Illinois. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1989 and has 35 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Navarro Emergency Physicians Pllc, Odessa Physician Associates Pllc and his current practice location is 1400 W Park St, Urbana, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 337-2000.

Robert Leo Black Jr is licensed to practice in Illinois (license number 036-085333) 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 1528084472.

Contact Information

	Robert Leo Black Jr, MD
	1400 W Park St, Urbana, IL 61801-2334
	(217) 337-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Robert Leo Black Jr
Gender	Male
Speciality	Emergency Medicine
Experience	35 Years
Location	1400 W Park St, Urbana, Illinois
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:

Robert Leo Black Jr attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1989

NPI Data:

NPI Number: 1528084472
Provider Enumeration Date: 07/14/2006
Last Update Date: 12/10/2015

Medicare PECOS Information:

PECOS PAC ID: 5597662361
Enrollment ID: I20120523000097

Medical Identifiers

Medical identifiers for Robert Leo Black Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528084472	NPI	-	NPPES
036085333	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	J6877 (Texas)	Secondary
207P00000X	Emergency Medicine	34824-020 (Wisconsin)	Secondary
207P00000X	Emergency Medicine	036-085333 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Navarro Regional Hospital	Corsicana, TX	Hospital
Odessa Regional Medical Center	Odessa, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Navarro Emergency Physicians Pllc	1254487861	18
Odessa Physician Associates Pllc	8426940115	15

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. Robert Leo Black Jr allows following entities to bill medicare on his behalf.

Entity Name	Odessa Physician Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457398364 PECOS PAC ID: 8426940115 Enrollment ID: O20040326001291

Entity Name	Acs Primary Care Physicians Southwest Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027

Entity Name	Navarro Emergency Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851523252 PECOS PAC ID: 1254487861 Enrollment ID: O20090923000744

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. Robert Leo Black Jr 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
Robert Leo Black Jr, MD 75 Remitt Drive, Lockbox 6053, Chicago, IL 60675-6053 Ph: (866) 916-5259	Robert Leo Black Jr, MD 1400 W Park St, Urbana, IL 61801-2334 Ph: (217) 337-2000

Reviews and Comments

Emergency Medicine Doctors in Urbana, IL

Dr. Carlos Enrique Brown Jr., M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311
Dr. Imran Khan, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3313 Fax: 217-383-4014
Brendan Mcevoy, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3285
Michael F Hegarty, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park Street, Emergency Medicine, Urbana, IL 61801 Phone: 217-383-4930 Fax: 217-383-4014
Lars Grant, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 W Park St, Emergency Department, Urbana, IL 61801 Phone: 217-337-2131
Philip Disalvo, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3313 Fax: 217-383-4014
Dr. G. Michael M Swindle, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park Street, Emergency Medicine, Urbana, IL 61801 Phone: 217-383-3311

Robert Leo Black Jr, MD - Medicare Emergency Medicine in Urbana, IL