Laura Black, NP in Watertown, MA - Medicare Nurse Practitioner

Laura Black, NP is a medicare enrolled "Nurse Practitioner" in Watertown, Massachusetts. Her current practice location is 200 Dexter Ave, Suite K, Watertown, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 600-3195.

Laura Black is licensed to practice in Massachusetts (license number 186294) 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 1295068161.

Contact Information

	Laura Black, NP
	200 Dexter Ave, Suite K, Watertown, MA 02472-4238
	(617) 600-3195
	(617) 924-1207

Map and Direction

Provider's Profile

Full Name	Laura Black
Gender	Female
Speciality	Nurse Practitioner
Location	200 Dexter Ave, Watertown, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295068161
Provider Enumeration Date: 09/10/2009
Last Update Date: 09/10/2009

Medicare PECOS Information:

PECOS PAC ID: 7012134471
Enrollment ID: I20140807001595

Medical Identifiers

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

Identifier	Type	State	Issuer
1295068161	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	186294 (Massachusetts)	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. Laura Black allows following entities to bill medicare on her behalf.

Entity Name	Brightstar Health And Wellness Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588322390 PECOS PAC ID: 6507245461 Enrollment ID: O20220623000707

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. Laura 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
Laura Black, NP 200 Dexter Ave, Suite K, Watertown, MA 02472-4238 Ph: (617) 600-3195	Laura Black, NP 200 Dexter Ave, Suite K, Watertown, MA 02472-4238 Ph: (617) 600-3195

Reviews and Comments

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Laura Black, NP - Medicare Nurse Practitioner in Watertown, MA