Casey R Black, NP in Stockbridge, GA - Medicare Nurse Practitioner

Casey R Black, NP is a medicare enrolled "Nurse Practitioner" in Stockbridge, Georgia. Her current practice location is 125 Eagle Spring Dr, Stockbridge, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 213-3366.

Casey R Black is licensed to practice in Georgia (license number RN146749) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003151028.

Contact Information

	Casey R Black, NP
	125 Eagle Spring Dr, Stockbridge, GA 30281-6328
	(770) 213-3366
	(404) 962-6943

Map and Direction

Provider's Profile

Full Name	Casey R Black
Gender	Female
Speciality	Nurse Practitioner
Location	125 Eagle Spring Dr, Stockbridge, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003151028
Provider Enumeration Date: 12/03/2012
Last Update Date: 05/10/2017

Medicare PECOS Information:

PECOS PAC ID: 9436302619
Enrollment ID: I20130122000341

Medical Identifiers

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

Identifier	Type	State	Issuer
1003151028	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN146749 (Georgia)	Primary

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. Casey R Black allows following entities to bill medicare on her behalf.

Entity Name	Magnolia Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801340856 PECOS PAC ID: 5799066387 Enrollment ID: O20161219001375

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. Casey R 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
Casey R Black, NP 125 Eagle Spring Dr, Stockbridge, GA 30281-6328 Ph: (770) 213-3366	Casey R Black, NP 125 Eagle Spring Dr, Stockbridge, GA 30281-6328 Ph: (770) 213-3366

Reviews and Comments

Nurse Practitioner Nurses in Stockbridge, GA

Ms. Eleasha R Gray, C-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 165 North Park Trail, Stockbridge, GA 30281 Phone: 770-506-1800 Fax: 770-389-5947
Jeanine Clark, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 Medical Blvd, Stockbridge, GA 30281 Phone: 239-443-8018
Shanae Mapp, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 831 Fairways Ct, Stockbridge, GA 30281 Phone: 770-389-1925
Janise Roebuck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1240 Eagles Landing Pkwy Ste 110, Stockbridge, GA 30281 Phone: 770-389-3855
Sandra Thomas, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 Eagles Landing Pkwy # 210, Stockbridge, GA 30281 Phone: 770-668-3363
Mrs. Amanda J Raynor, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1045 Southcrest Drive, Suite 110, Stockbridge, GA 30281 Phone: 770-507-2212 Fax: 770-507-2213

Casey R Black, NP - Medicare Nurse Practitioner in Stockbridge, GA