Andrew Black, APRN in Medina, OH - Medicare Nurse Practitioner

Andrew Black, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Medina, Ohio. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Sushil K Jain Md Inc and his current practice location is 5041 Victor Dr Ste C, Medina, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 723-3338.

Andrew Black is licensed to practice in Ohio (license number APRN.CNP.023120) 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 1346726999.

Contact Information

	Andrew Black, APRN
	5041 Victor Dr Ste C, Medina, OH 44256-6028
	(330) 723-3338
	Not Available

Map and Direction

Provider's Profile

Full Name	Andrew Black
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	5041 Victor Dr Ste C, Medina, Ohio
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:

Andrew Black graduated from nursing school in 2018

NPI Data:

NPI Number: 1346726999
Provider Enumeration Date: 07/17/2018
Last Update Date: 07/17/2018

Medicare PECOS Information:

PECOS PAC ID: 5597015305
Enrollment ID: I20180829000012

Medical Identifiers

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

Identifier	Type	State	Issuer
1346726999	NPI	-	NPPES
APRN.CNP.023120	Other	OH	STATE (OHIO) ENDORSEMENT CNP

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	APRN.CNP.023120 (Ohio)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	APRN.CNP.023120 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sushil K Jain Md Inc	7517046014	2

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. Andrew Black allows following entities to bill medicare on his behalf.

Entity Name	Sushil K Jain Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720250343 PECOS PAC ID: 7517046014 Enrollment ID: O20080508000794

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. Andrew 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
Andrew Black, APRN 273 Chester Ave, Wadsworth, OH 44281-8374 Ph: (330) 472-1714	Andrew Black, APRN 5041 Victor Dr Ste C, Medina, OH 44256-6028 Ph: (330) 723-3338

Reviews and Comments

Nurse Practitioner Nurses in Medina, OH

Margaret Hosfield Maisel, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5075 Windfall Rd, Medina, OH 44256 Phone: 330-722-4771 Fax: 330-722-5266
Jessica Gutwein, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 970 E Washington St, Medina, OH 44256 Phone: 330-721-5700
Becky Coyner, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 E. Washington Street, Medina, OH 44256 Phone: 330-721-4955
Ashley Adams, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3567 Reserve Commons Dr Ste 100, Medina, OH 44256 Phone: 330-664-9250
Caroline Molony, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3593 Reserve Commons Drive, Medina, OH 44256 Phone: 330-536-3746
Cheryl Ann Green, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 970 E Washington St Ste 2f, Medina, OH 44256 Phone: 330-723-7999 Fax: 330-764-9907
Holly Zienkowski, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 970 E Washington St, Medina, OH 44256 Phone: 330-466-6919

Andrew Black, APRN - Medicare Nurse Practitioner in Medina, OH