Ivy Black, C-NP in Powder Springs, GA

Ivy Black, C-NP is a medicare enrolled "Nurse Practitioner - Family" in Powder Springs, Georgia. Her current practice location is 4250 Brownsville Rd, Powder Springs, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 567-8000.

Ivy Black is licensed to practice in Georgia (license number RN195496) 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 1104571462.

Contact Information

	Ivy Black, C-NP
	4250 Brownsville Rd, Powder Springs, GA 30127-2559
	(678) 567-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ivy Black
Gender	Female
Speciality
Experience	Years
Location	4250 Brownsville Rd, Powder Springs, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ivy Black attended and graduated from in

NPI Data:

NPI Number: 1104571462
Provider Enumeration Date: 02/15/2022
Last Update Date: 02/15/2022

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

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

Identifier	Type	State	Issuer
1104571462	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN195496 (Georgia)	Primary

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. Ivy 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
Ivy Black, C-NP 4467 Worthings Ct, Powder Springs, GA 30127-1471 Ph: (706) 405-1195	Ivy Black, C-NP 4250 Brownsville Rd, Powder Springs, GA 30127-2559 Ph: (678) 567-8000

Reviews and Comments

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Ivy Black, C-NP - Medicare in Powder Springs, GA