Carol Lynn Black, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Coalgate, Oklahoma. Her current practice location is
107 E Post Ave, Coalgate, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 927-2828.
Carol Lynn Black is licensed to practice in Oklahoma (license number R0067047) 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 1013427129.
Provider's Profile
| Full Name | Carol Lynn Black |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 107 E Post Ave, Coalgate, Oklahoma |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carol Lynn Black attended and graduated from in
NPI Data:
- NPI Number: 1013427129
- Provider Enumeration Date: 10/03/2017
- Last Update Date: 12/19/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Carol Lynn Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013427129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 67047 (Oklahoma) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R0067047 (Oklahoma) | Primary |
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. Carol Lynn 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 |
|---|
Carol Lynn Black, APRN-CNP
610 E 24th St,
Tishomingo, OK 73460-3245
Ph: (580) 371-2343 | Carol Lynn Black, APRN-CNP
107 E Post Ave,
Coalgate, OK 74538-3004
Ph: (580) 927-2828 |
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