Jennifer Lee Black, APN - Medicare Nurse Practitioner in Carlyle, IL

  1. Home
  2. Nurse Practitioner
  3. IL
  4. Carlyle
Jennifer Lee Black, APN is a medicare enrolled "Nurse Practitioner - Family" in Carlyle, Illinois. Her current practice location is 14509 State Route 127 Ste B, Carlyle, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 594-8924.

Jennifer Lee Black is licensed to practice in Illinois (license number 209016989) 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 1689172769.

Contact Information

Jennifer Lee Black, APN
14509 State Route 127 Ste B,
Carlyle, IL 62231-6485
(618) 594-8924
Not Available

Map and Direction




Provider's Profile

Full NameJennifer Lee Black
GenderFemale
SpecialityNurse Practitioner - Family
Location14509 State Route 127 Ste B, Carlyle, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689172769
  • Provider Enumeration Date: 01/24/2018
  • Last Update Date: 07/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0840548483
  • Enrollment ID: I20180730002580

Medical Identifiers

Medical identifiers for Jennifer Lee Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689172769NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209016989 (Illinois)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. Jennifer Lee Black allows following entities to bill medicare on her behalf.
Entity NameSt Josephs Hospital Breese Of The Hospital Sisters Of The Third Order
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457319154
PECOS PAC ID: 9638064892
Enrollment ID: O20040217000493

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. Jennifer Lee 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
Jennifer Lee Black, APN
1564 Cedar Point Dr,
Cordele, GA 31015-6436

Ph: (770) 855-6205		Jennifer Lee Black, APN
14509 State Route 127 Ste B,
Carlyle, IL 62231-6485

Ph: (618) 594-8924

Reviews and Comments


Nurse Practitioner Nurses in Carlyle, IL

Dr. Teri Joyce Berry, DNP, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9521 Rakers Rd, Carlyle, IL 62231
Phone: 618-401-0861    
Jennifer L Felchlia, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 751 18th St, Carlyle, IL 62231
Phone: 618-795-4849    
Michael Cue Rivera, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1110 Mulliken St, Carlyle, IL 62231
Phone: 618-594-3613    Fax: 888-859-4347

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.