Eva Marie Black, APRN-C - Medicare Nurse Practitioner in York, AL

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Eva Marie Black, APRN-C is a medicare enrolled "Nurse Practitioner - Family" in York, Alabama. Her current practice location is 415 Derby Dr, York, Alabama. You can reach out to her office (for appointments etc.) via phone at (205) 392-9656.

Eva Marie Black is licensed to practice in Alabama (license number 1-168015) 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 1134765886.

Contact Information

Eva Marie Black, APRN-C
415 Derby Dr,
York, AL 36925-2117
(205) 392-9656
Not Available

Map and Direction




Provider's Profile

Full NameEva Marie Black
GenderFemale
SpecialityNurse Practitioner - Family
Location415 Derby Dr, York, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134765886
  • Provider Enumeration Date: 11/18/2019
  • Last Update Date: 09/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8325419013
  • Enrollment ID: I20230117000169

Medical Identifiers

Medical identifiers for Eva Marie Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134765886NPI-NPPES
1-168015OtherALALABAMA LICENSE
27493OtherTNTN LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 901756 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family 27493 (Tennessee)Secondary
363LF0000XNurse Practitioner - Family 1-168015 (Alabama)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. Eva Marie Black allows following entities to bill medicare on her behalf.
Entity NameGrundy County Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770588683
PECOS PAC ID: 6800844200
Enrollment ID: O20240214004077

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. Eva Marie 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
Eva Marie Black, APRN-C
91 Phoenix Ave,
Carrollton, AL 35447-2351

Ph: (662) 549-4050		Eva Marie Black, APRN-C
415 Derby Dr,
York, AL 36925-2117

Ph: (205) 392-9656

Reviews and Comments


Nurse Practitioner Nurses in York, AL

Mrs. Sarah Neely Ivey, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 415 Derby Dr, York, AL 36925
Phone: 205-392-9656    
Mrs. Andrea Lakole Pope, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1505 E 4th Ave, York, AL 36925
Phone: 205-343-7300    
Janice Ramsey, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1505 E 4th Ave, York, AL 36925
Phone: 205-343-7300    Fax: 205-343-7306
Maria Mcclain Murdock, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 724 Derby Dr, York, AL 36925
Phone: 205-392-7060    

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.