Serena Star Black, MD in Springfield, OR

Serena Star Black, MD is a medicare enrolled "Pediatrics" physician in Springfield, Oregon. Her current practice location is 3377 Riverbend Dr, Springfield, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 222-8500.

Serena Star Black is licensed to practice in Oregon (license number MD154349) 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 1508007675.

Contact Information

	Serena Star Black, MD
	3377 Riverbend Dr, Springfield, OR 97477-8803
	(541) 222-8500
	Not Available

Map and Direction

Physician's Profile

Full Name	Serena Star Black
Gender	Female
Speciality	Pediatrics
Location	3377 Riverbend Dr, Springfield, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508007675
Provider Enumeration Date: 03/18/2009
Last Update Date: 07/13/2011

Medicare PECOS Information:

PECOS PAC ID: 2466620042
Enrollment ID: I20110726000687

Medical Identifiers

Medical identifiers for Serena Star Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508007675	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD154349 (Oregon)	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. Serena Star Black allows following entities to bill medicare on her behalf.

Entity Name	Peacehealth Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097

Entity Name	Peacehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982774378 PECOS PAC ID: 4587573001 Enrollment ID: O20031215000598

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. Serena Star 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
Serena Star Black, MD Po Box 24410, Eugene, OR 97402-0451 Ph: () -	Serena Star Black, MD 3377 Riverbend Dr, Springfield, OR 97477-8803 Ph: (541) 222-8500

Reviews and Comments

Pediatrics Doctors in Springfield, OR

Dr. Brendan Patrick Kelly, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3377 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-8500 Fax: 541-222-6435
Dr. Daniel Kent Morrow, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3355 Riverbend Dr Ste 220, Springfield, OR 97477 Phone: 503-418-5700
Virginia Barak, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3377 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-6160 Fax: 541-222-6166
Dr. Misty Lynn Carlson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3377 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-6160 Fax: 541-222-6166
Todd A Huffman, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1442 S A St, Springfield, OR 97477 Phone: 541-726-4100 Fax: 541-725-4900
Dr. Igor Michael Gladstone Ii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3355 Riverbend Dr Ste 220, Springfield, OR 97477 Phone: 541-686-8790
Dr. Daniel Erichsen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3377 Riverbend Dr, Springfield, OR 97477 Phone: 541-222-2402 Fax: 541-222-2350

Serena Star Black, MD - Medicare Pediatrics in Springfield, OR