Mckenna Black, PA-C is a
Student In An Organized Health Care Education/training Program based in Columbus, Ohio. Mckenna Black is licensed to practice in Ohio (license number 50.008815RX) and her current practice location is
3535 Olentangy River Rd, Columbus, Ohio. She can be reached at her office (for appointments etc.) via phone at
(614) 566-5000.
NPI number for Mckenna Black is 1376387472 and her current mailing address is 3535 Olentangy River Rd, Columbus, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376387472.
Provider's Profile
| Full Name | Mckenna Black |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 3535 Olentangy River Rd, Columbus, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1376387472
- Provider Enumeration Date: 06/24/2024
- Last Update Date: 06/25/2024
Medical Identifiers
Medical identifiers for Mckenna Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376387472 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 50.008815RX (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 50.008815RX (Ohio) | 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. Mckenna Black is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mckenna Black, PA-C
3535 Olentangy River Rd,
Columbus, OH 43214-3908
Ph: () - | Mckenna Black, PA-C
3535 Olentangy River Rd,
Columbus, OH 43214-3908
Ph: (614) 566-5000 |
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