Mr Jason L Black, APRN-C - Medicare Nurse Practitioner in Lebanon, TN

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Mr Jason L Black, APRN-C is a medicare enrolled "Nurse Practitioner - Family" in Lebanon, Tennessee. He went to Vanderbilt University School Of Medicine and graduated in 2006 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Qv Urgent Care Ia Pllc and his current practice location is 1407 W Baddour Pkwy, Lebanon, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 444-6203.

Mr Jason L Black is licensed to practice in Tennessee (license number 12510) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306013305.

Contact Information

Mr Jason L Black, APRN-C
1407 W Baddour Pkwy,
Lebanon, TN 37087-2513
(615) 444-6203
(615) 444-6252

Map and Direction




Provider's Profile

Full NameMr Jason L Black
GenderMale
SpecialityNurse Practitioner
Experience19 Years
Location1407 W Baddour Pkwy, Lebanon, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Jason L Black attended and graduated from Vanderbilt University School Of Medicine in 2006
  NPI Data:
  • NPI Number: 1306013305
  • Provider Enumeration Date: 05/09/2008
  • Last Update Date: 06/11/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4284812603
  • Enrollment ID: I20210914001715

Medical Identifiers

Medical identifiers for Mr Jason L Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306013305NPI-NPPES
1524683MedicaidTN
270851352OtherTNAETNA
4298132OtherTNBCBS
1671330OtherTNCIGNA
141492OtherTNTN REGISTERED NURSE
3323078OtherTNUHC
12242516OtherTNCAQH
62-1792161OtherTNTRICARE
12510OtherTNADVANCED PRACTICE NURSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP145757 (Texas)Secondary
363LF0000XNurse Practitioner - Family 12510 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Qv Urgent Care Ia Pllc105272214728

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 Jason L Black allows following entities to bill medicare on his behalf.
Entity NameStopwatch Urgent Care Centers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841506458
PECOS PAC ID: 7719166230
Enrollment ID: O20110128000664
Entity NameSouthern Immediate Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467909978
PECOS PAC ID: 6103114087
Enrollment ID: O20161010000102

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 Jason L 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 Jason L Black, APRN-C
1407 W Baddour Pkwy,
Lebanon, TN 37087-2513

Ph: (615) 444-6203		Mr Jason L Black, APRN-C
1407 W Baddour Pkwy,
Lebanon, TN 37087-2513

Ph: (615) 444-6203

Reviews and Comments


Nurse Practitioner Nurses in Lebanon, TN

Ashley Anderson Mccormack,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1670 W Main St Ste 140, Lebanon, TN 37087
Phone: 615-994-8201    
Ali N Sorrell, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1418 W Main St, Lebanon, TN 37087
Phone: 615-453-7720    
Justin Groce, APRN
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 115 Winwood Dr, Suite 105, Lebanon, TN 37087
Phone: 615-444-4126    Fax: 855-785-2890
Mrs. Brandi Lindsey, R. N., C.P.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1405 W Baddour Pkwy, Ste. 101, Lebanon, TN 37087
Phone: 615-449-5611    Fax: 615-444-7882
Ms. Kristy M Blaney, RN, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 Physicians Way, Suite 250, Lebanon, TN 37090
Phone: 615-444-3307    
Kathleen Elizabeth Miller,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2605 Mann Rd, Lebanon, TN 37087
Phone: 615-598-5490    
Carlie Morrison, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 365 S Hartmann Dr Ste 104, Lebanon, TN 37087
Phone: 615-243-8984    

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).

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