Carrie June Black, ARNP - Medicare Nurse Practitioner in Madisonville, KY

  1. Home
  2. Nurse Practitioner
  3. KY
  4. Madisonville
Carrie June Black, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Madisonville, Kentucky. She graduated from nursing school in 1995 and has 29 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Baptist Health Deaconess Medical Group Inc and her current practice location is 1756 E Center St, Madisonville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (270) 821-3300.

Carrie June Black is licensed to practice in Kentucky (license number 3002209) 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 1821195447.

Contact Information

Carrie June Black, ARNP
1756 E Center St,
Madisonville, KY 42431-2253
(270) 821-3300
(270) 821-2100

Map and Direction




Provider's Profile

Full NameCarrie June Black
GenderFemale
SpecialityNurse Practitioner
Experience29 Years
Location1756 E Center St, Madisonville, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carrie June Black graduated from nursing school in 1995
  NPI Data:
  • NPI Number: 1821195447
  • Provider Enumeration Date: 09/17/2006
  • Last Update Date: 12/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4284702531
  • Enrollment ID: I20081014000281

Medical Identifiers

Medical identifiers for Carrie June Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821195447NPI-NPPES
2209POtherKYLICENSE
000000044303OtherBCBS PROVIDER NUMBER
78001153MedicaidKY
P00943823OtherKYRAILROAD MEDICARE- WALMART MADISONVILLE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 3002209 (Kentucky)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baptist Health Deaconess Medical Group Inc6103220330128

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. Carrie June Black allows following entities to bill medicare on her behalf.
Entity NameBaptist Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740586213
PECOS PAC ID: 5597867184
Enrollment ID: O20070228000503
Entity NameBaptist Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922401611
PECOS PAC ID: 5597867184
Enrollment ID: O20150219000942
Entity NameBaptist Health Deaconess Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437730942
PECOS PAC ID: 6103220330
Enrollment ID: O20210810000993

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. Carrie June 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 AddressPractice Location Address
Carrie June Black, ARNP
200 Clinic Dr,
Madisonville, KY 42431-1661

Ph: () -		Carrie June Black, ARNP
1756 E Center St,
Madisonville, KY 42431-2253

Ph: (270) 821-3300

Reviews and Comments


Nurse Practitioner Nurses in Madisonville, KY

Amber Lynn O'hearn, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1815 Castleton Dr, Madisonville, KY 42431
Phone: 270-871-8016    
Michael W. Rager, APRN, DNP, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 200 Clinic Dr, Madisonville, KY 42431
Phone: 270-825-7200    
Sarah Ruth Peyton, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1851 N Main St, Madisonville, KY 42431
Phone: 270-825-7268    Fax: 270-825-6615
Ashleigh Dena Hickerson, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 900 Hospital Dr, Madisonville, KY 42431
Phone: 270-875-3502    Fax: 270-825-5551
Ms. Rosa Lee Langley, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3895 Brown Rd, Madisonville, KY 42431
Phone: 859-539-7014    
Amy Nicole Mercer, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1851 N Main St, Madisonville, KY 42431
Phone: 270-825-7268    Fax: 270-825-6615
Leslie Johnson, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1350 N Main St, Madisonville, KY 42431
Phone: 270-245-2554    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.