Jennifer Robinson Black, APRN in Ogden, UT - Medicare Nurse Practitioner

Jennifer Robinson Black, APRN is a medicare enrolled "Nurse Practitioner" in Ogden, Utah. Her current practice location is 4650 Harrison Blvd, Ogden, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 475-3010.

Jennifer Robinson Black is licensed to practice in Utah (license number 338537-4405) 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 1811671449.

Contact Information

	Jennifer Robinson Black, APRN
	4650 Harrison Blvd, Ogden, UT 84403-4303
	(801) 475-3010
	Not Available

Map and Direction

Provider's Profile

Full Name	Jennifer Robinson Black
Gender	Female
Speciality	Nurse Practitioner
Location	4650 Harrison Blvd, Ogden, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811671449
Provider Enumeration Date: 06/14/2023
Last Update Date: 07/20/2023

Medicare PECOS Information:

PECOS PAC ID: 1557722741
Enrollment ID: I20230803004195

Medical Identifiers

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

Identifier	Type	State	Issuer
1811671449	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	338537-4405 (Utah)	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 Robinson Black allows following entities to bill medicare on her behalf.

Entity Name	Ogden Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578550083 PECOS PAC ID: 9638078033 Enrollment ID: O20040105000780

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 Robinson 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
Jennifer Robinson Black, APRN Po Box 5546, Denver, CO 80217-5546 Ph: (801) 475-3500	Jennifer Robinson Black, APRN 4650 Harrison Blvd, Ogden, UT 84403-4303 Ph: (801) 475-3010

Reviews and Comments

Nurse Practitioner Nurses in Ogden, UT

Trisha B Sears, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-866-3714
Allyx Bowthorpe, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 434 E 5350 S Ste D, Ogden, UT 84405 Phone: 801-827-9100 Fax: 801-827-9110
Justin Robert Haslam, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5740 Crestwood Dr, Ogden, UT 84405 Phone: 801-479-7771 Fax: 801-479-7795
Carrie Hanni, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4403 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-7900 Fax: 801-387-7910
Lacey Kay Gordon, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1355 W 3400 S, Ogden, UT 84401 Phone: 801-387-6150 Fax: 801-399-2572
Maline Johanna Cropper, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1068 Harrop St, Ogden, UT 84404 Phone: 435-760-5797
Mrs. Victoria Dawn Olvera, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-2702

Jennifer Robinson Black, APRN - Medicare Nurse Practitioner in Ogden, UT