Angela M Black, CNP in Seattle, WA - Medicare Nurse Practitioner

Angela M Black, CNP is a medicare enrolled "Nurse Practitioner" in Seattle, Washington. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Marquis Clinical Services Llc and her current practice location is 901 Rainier Ave S, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 470-3880.

Angela M Black is licensed to practice in Washington (license number AP60909585) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1447507462.

Contact Information

	Angela M Black, CNP
	901 Rainier Ave S, Seattle, WA 98144-2839
	(206) 470-3880
	Not Available

Map and Direction

Provider's Profile

Full Name	Angela M Black
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	901 Rainier Ave S, Seattle, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Angela M Black graduated from nursing school in 2012

NPI Data:

NPI Number: 1447507462
Provider Enumeration Date: 08/09/2012
Last Update Date: 01/14/2021

Medicare PECOS Information:

PECOS PAC ID: 3375793755
Enrollment ID: I20151020002853

Medical Identifiers

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

Identifier	Type	State	Issuer
1447507462	NPI	-	NPPES
500691918	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	COA.13918-NP (Ohio)	Secondary
363L00000X	Nurse Practitioner	201506660NP-PP (Oregon)	Secondary
363L00000X	Nurse Practitioner	AP60909585 (Washington)	Primary
363L00000X	Nurse Practitioner	335437 (Ohio)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Marquis Clinical Services Llc	2860827821	17

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. Angela M Black allows following entities to bill medicare on her behalf.

Entity Name	Marquis Clinical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710427810 PECOS PAC ID: 2860827821 Enrollment ID: O20200121002375

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. Angela M 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
Angela M Black, CNP 6009 Sw Taylors Ferry Rd, Portland, OR 97219-5627 Ph: (740) 398-6674	Angela M Black, CNP 901 Rainier Ave S, Seattle, WA 98144-2839 Ph: (206) 470-3880

Reviews and Comments

Nurse Practitioner Nurses in Seattle, WA

Mrs. Joanne Lynn Osetsky, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 17th Ave, Ste 110, Seattle, WA 98122 Phone: 206-320-3470 Fax: 206-320-3471
Sandra K Walker, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 325 9th Ave, Seattle, WA 98104 Phone: 206-598-0502 Fax: 206-598-0516
Ms. Jennifer Patano, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4800 Sand Point Way Ne, Ms O.7.720, Seattle, WA 98105 Phone: 206-987-8949 Fax: 206-987-8943
Mrs. Dominique Michelle Well, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4715 42nd Ave Sw, Seattle, WA 98116 Phone: 206-265-3642
Mrs. Susan L Holtzclaw, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4800 Sand Point Way Ne, Mailstop T-2108, Seattle, WA 98105 Phone: 206-987-5691
Dr. Kaitlin Michelle Brasier, D.N.P., A.R.N.P., RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1525 4th Ave, Suite 300, Seattle, WA 98101 Phone: 206-838-6856 Fax: 206-838-3085
Melissa Yen-ching Lo, DNP, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 825 Eastlake Ave E, Seattle, WA 98109 Phone: 206-861-3396

Angela M Black, CNP - Medicare Nurse Practitioner in Seattle, WA