Adam Harris Black, NP in Nashville, TN - Medicare Nurse Practitioner

Adam Harris Black, NP is a medicare enrolled "Nurse Practitioner" in Nashville, Tennessee. His current practice location is 213 W Maplewood Ln Ste 350, Nashville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 961-5878.

Adam Harris Black is licensed to practice in Texas (license number 783129) 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 1558626689.

Contact Information

	Adam Harris Black, NP
	213 W Maplewood Ln Ste 350, Nashville, TN 37207-2992
	(615) 961-5878
	Not Available

Map and Direction

Provider's Profile

Full Name	Adam Harris Black
Gender	Male
Speciality	Nurse Practitioner
Location	213 W Maplewood Ln Ste 350, Nashville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558626689
Provider Enumeration Date: 07/04/2012
Last Update Date: 06/04/2024

Medicare PECOS Information:

PECOS PAC ID: 2961659586
Enrollment ID: I20130618000109

Medical Identifiers

Medical identifiers for Adam Harris Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558626689	NPI	-	NPPES
303197302	Medicaid	TX
1558626689	Other	TX	TRICARE
8NO301	Other	TX	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	783129 (Texas)	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. Adam Harris Black allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Emergency Services P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669414264 PECOS PAC ID: 6204730195 Enrollment ID: O20031121000687

Entity Name	Firsthand Health Of Tennessee
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477216539 PECOS PAC ID: 4284028002 Enrollment ID: O20220221002190

Entity Name	Landmark Medical Of Tennessee Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396498143 PECOS PAC ID: 8527453851 Enrollment ID: O20220323000117

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. Adam Harris 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
Adam Harris Black, NP 7171 Buffalo Speedway, Apt 535, Houston, TX 77025-1424 Ph: (205) 960-6362	Adam Harris Black, NP 213 W Maplewood Ln Ste 350, Nashville, TN 37207-2992 Ph: (615) 961-5878

Reviews and Comments

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Adam Harris Black, NP - Medicare Nurse Practitioner in Nashville, TN