Autumn Black, in Louisville, KY - Medicare Nurse Practitioner

Autumn Black, is a medicare enrolled "Nurse Practitioner - Family" in Louisville, Kentucky. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Nautilus Health Care Group Plc and her current practice location is 2100 Millvale Rd, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (443) 383-9300.

Autumn Black is licensed to practice in Kentucky (license number 3014903) 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 1376137414.

Contact Information

	Autumn Black,
	2100 Millvale Rd, Louisville, KY 40205-1604
	(443) 383-9300
	Not Available

Map and Direction

Provider's Profile

Full Name	Autumn Black
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	2100 Millvale Rd, Louisville, Kentucky
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:

Autumn Black graduated from nursing school in 2020

NPI Data:

NPI Number: 1376137414
Provider Enumeration Date: 03/01/2021
Last Update Date: 11/17/2022

Medicare PECOS Information:

PECOS PAC ID: 8426464926
Enrollment ID: I20210308002853

Medical Identifiers

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

Identifier	Type	State	Issuer
1376137414	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3014903 (Kentucky)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Frankfort Regional Medical Center	Frankfort, KY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nautilus Health Care Group Plc	4183868052	9

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. Autumn Black allows following entities to bill medicare on her behalf.

Entity Name	Nautilus Health Care Group Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164866877 PECOS PAC ID: 4183868052 Enrollment ID: O20130913000649

Entity Name	Consonant Healing Associates Of De Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669099321 PECOS PAC ID: 2466871694 Enrollment ID: O20210308002835

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. Autumn 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
Autumn Black, 909 Ridgebrook Rd Ste 300, Sparks, MD 21152-9477 Ph: (443) 383-9300	Autumn Black, 2100 Millvale Rd, Louisville, KY 40205-1604 Ph: (443) 383-9300

Reviews and Comments

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Amanda Danielle Saccone, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1930 Bishop Ln Fl 12, Louisville, KY 40218 Phone: 502-272-5220 Fax: 502-272-5117
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Victoria Jean Shipman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 315 E Broadway Fl 4, Louisville, KY 40202 Phone: 502-629-2500

Autumn Black, - Medicare Nurse Practitioner in Louisville, KY