Chariti Black, NP-C - Medicare Nurse Practitioner in Chattanooga, TN

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Chariti Black, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Chattanooga, Tennessee. Her current practice location is 2158 Northgate Park Ln Ste 300, Chattanooga, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 771-9680.

Chariti Black is licensed to practice in Tennessee (license number 22769) 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 1487164901.

Contact Information

Chariti Black, NP-C
2158 Northgate Park Ln Ste 300,
Chattanooga, TN 37415-6959
(423) 771-9680
Not Available

Map and Direction




Provider's Profile

Full NameChariti Black
GenderFemale
SpecialityNurse Practitioner - Family
Location2158 Northgate Park Ln Ste 300, Chattanooga, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487164901
  • Provider Enumeration Date: 10/11/2017
  • Last Update Date: 10/11/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7113331638
  • Enrollment ID: I20210125001574

Medical Identifiers

Medical identifiers for Chariti Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487164901NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 22769 (Tennessee)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. Chariti Black allows following entities to bill medicare on her behalf.
Entity NameInnovative Women's Health Specialists
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003271354
PECOS PAC ID: 1658675889
Enrollment ID: O20160209002480
Entity NamePrivia Medical Group Tennessee Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376110858
PECOS PAC ID: 0547667552
Enrollment ID: O20210917001131

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. Chariti 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
Chariti Black, NP-C
7002 Treeline Dr,
Harrison, TN 37341-9564

Ph: (423) 313-3688		Chariti Black, NP-C
2158 Northgate Park Ln Ste 300,
Chattanooga, TN 37415-6959

Ph: (423) 771-9680

Reviews and Comments


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Phone: 423-698-8101    Fax: 423-698-3450

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.