Dianne Black, NP in Providence, RI - Medicare Nurse Practitioner

Dianne Black, NP is a medicare enrolled "Nurse Practitioner" in Providence, Rhode Island. Her current practice location is 593 Eddy St, Claverick 2, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 444-4000.

Dianne Black is licensed to practice in Rhode Island (license number NPP37734) 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 1023355765.

Contact Information

	Dianne Black, NP
	593 Eddy St, Claverick 2, Providence, RI 02903-4923
	(401) 444-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Dianne Black
Gender	Female
Speciality	Nurse Practitioner
Location	593 Eddy St, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023355765
Provider Enumeration Date: 01/15/2013
Last Update Date: 03/28/2018

Medicare PECOS Information:

PECOS PAC ID: 8325284169
Enrollment ID: I20130423000216

Medical Identifiers

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

Identifier	Type	State	Issuer
1023355765	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	NPP37734 (Rhode Island)	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. Dianne Black allows following entities to bill medicare on her behalf.

Entity Name	Brown Emergency Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962455022 PECOS PAC ID: 7214833169 Enrollment ID: O20040116000868

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. Dianne 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
Dianne Black, NP Po Box 9484, Providence, RI 02940-9484 Ph: (401) 854-2500	Dianne Black, NP 593 Eddy St, Claverick 2, Providence, RI 02903-4923 Ph: (401) 444-4000

Reviews and Comments

Nurse Practitioner Nurses in Providence, RI

Mrs. Halina Kuc-mazgaj, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, The Miriam Hospital, Providence, RI 02906 Phone: 401-793-3902
Tanya A White, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 530 N Main St, Providence, RI 02904 Phone: 401-276-4020
Phina A Mayu, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Randall Sq, Providence, RI 02904 Phone: 401-274-6339 Fax: 401-453-6290
Beverly Casinelli, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 Allens Ave, Providence, RI 02905 Phone: 401-606-4150
Elizabeth Moore Medbury, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 Chalkstone Ave, Providence, RI 02908 Phone: 401-273-7011
Abigail Leah Soscia, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Dudley Street, Wih Neonatology/pediatrics, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7571
Jennifer R Ouellette, MSN, RNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Pvamc 830 Chalkstone Ave, Firm Vi, Providence, RI 02908 Phone: 401-273-7100

Dianne Black, NP - Medicare Nurse Practitioner in Providence, RI