Juli Suzanne Black, in Saint Cloud, MN - Medicare Nurse Practitioner

Juli Suzanne Black, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Saint Cloud, Minnesota. Her current practice location is 32518 River Vista Ln, Saint Cloud, Minnesota. You can reach out to her office (for appointments etc.) via phone at (309) 229-6956.

Juli Suzanne Black is licensed to practice in Minnesota (license number 9026) 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 1922754134.

Contact Information

	Juli Suzanne Black,
	32518 River Vista Ln, Saint Cloud, MN 56303-9564
	(309) 229-6956
	Not Available

Map and Direction

Provider's Profile

Full Name	Juli Suzanne Black
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	32518 River Vista Ln, Saint Cloud, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922754134
Provider Enumeration Date: 02/25/2022
Last Update Date: 02/25/2022

Medicare PECOS Information:

PECOS PAC ID: 1759740368
Enrollment ID: I20230629002590

Medical Identifiers

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

Identifier	Type	State	Issuer
1922754134	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	9026 (Minnesota)	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. Juli Suzanne Black allows following entities to bill medicare on her behalf.

Entity Name	Cos Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083317812 PECOS PAC ID: 9234594425 Enrollment ID: O20230421001323

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. Juli Suzanne 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
Juli Suzanne Black, 32518 River Vista Ln, Saint Cloud, MN 56303-9564 Ph: (408) 484-4451	Juli Suzanne Black, 32518 River Vista Ln, Saint Cloud, MN 56303-9564 Ph: (309) 229-6956

Reviews and Comments

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Rebecca Kastanek, APRN, CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1406 6th Ave N, Rehabilitation Services St.cloud Hospital, Saint Cloud, MN 56303 Phone: 320-255-5740 Fax: 320-656-7155

Juli Suzanne Black, - Medicare Nurse Practitioner in Saint Cloud, MN