Mr Dallas Black, ARNP - Medicare Nurse Practitioner in Ottumwa, IA

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Mr Dallas Black, ARNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Ottumwa, Iowa. His current practice location is 1011 Pennsylvania Ave, Ottumwa, Iowa. You can reach out to his office (for appointments etc.) via phone at (641) 682-7511.

Mr Dallas Black is licensed to practice in Iowa (license number H165013) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760156665.

Contact Information

Mr Dallas Black, ARNP
1011 Pennsylvania Ave,
Ottumwa, IA 52501-2129
(641) 682-7511
Not Available

Map and Direction




Provider's Profile

Full NameMr Dallas Black
GenderMale
SpecialityNurse Practitioner - Acute Care
Location1011 Pennsylvania Ave, Ottumwa, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760156665
  • Provider Enumeration Date: 08/04/2021
  • Last Update Date: 01/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9931577590
  • Enrollment ID: I20221201002845

Medical Identifiers

Medical identifiers for Mr Dallas Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760156665NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care H165013 (Iowa)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. Mr Dallas Black allows following entities to bill medicare on his behalf.
Entity NameOttumwa Health Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386956290
PECOS PAC ID: 3971629924
Enrollment ID: O20100927001257

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. Mr Dallas 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
Mr Dallas Black, ARNP
Po Box 1179,
Ottumwa, IA 52501-7179

Ph: (319) 800-9600		Mr Dallas Black, ARNP
1011 Pennsylvania Ave,
Ottumwa, IA 52501-2129

Ph: (641) 682-7511

Reviews and Comments


Nurse Practitioner Nurses in Ottumwa, IA

Kimberly Joan Brown, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 522 N Hancock St, Ottumwa, IA 52501
Phone: 641-683-0800    Fax: 641-683-0801
Jennifer Stromgren, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1527 Albia Rd, Ottumwa, IA 52501
Phone: 641-682-8772    
Stacy Lynnae Crill, DNP, CPNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 123 E 3rd St, Ottumwa, IA 52501
Phone: 641-682-8145    Fax: 641-682-8857
Mrs. Jayci Michelle Beamer, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1009 Pennsylvania Ave, Ottumwa, IA 52501
Phone: 641-683-4300    
Ashley Bland, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 522 N Hancock St, Ottumwa, IA 52501
Phone: 641-683-0800    Fax: 641-683-0801
Jamie Lee Hyde, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1001 Pennsylvania Ave, Ottumwa, IA 52501
Phone: 641-682-7511    Fax: 641-684-2324
Deborah L Stephenson, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 522 N Hancock St, Ottumwa, IA 52501
Phone: 641-682-4594    Fax: 641-682-2123

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.