Mr Ryan Black, PA-C in Corona, CA - Medicare Physician Assistant

Mr Ryan Black, PA-C is a medicare enrolled "Physician Assistant - Medical" in Corona, California. His current practice location is 802 Magnolia Ave Ste 205, Corona, California. You can reach out to his office (for appointments etc.) via phone at (951) 281-2730.

Mr Ryan Black is licensed to practice in California (license number PA63384) 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 1972375079.

Contact Information

	Mr Ryan Black, PA-C
	802 Magnolia Ave Ste 205, Corona, CA 92879-3144
	(951) 281-2730
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Ryan Black
Gender	Male
Speciality	Physician Assistant - Medical
Location	802 Magnolia Ave Ste 205, Corona, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972375079
Provider Enumeration Date: 10/23/2023
Last Update Date: 10/30/2024

Medicare PECOS Information:

PECOS PAC ID: 8820441777
Enrollment ID: I20240127000582

Medical Identifiers

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

Identifier	Type	State	Issuer
1972375079	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA63384 (California)	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. Mr Ryan 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
Mr Ryan Black, PA-C 40335 Winchester Rd, Suite E #238, Temecula, CA 92591 Ph: (760) 420-4123	Mr Ryan Black, PA-C 802 Magnolia Ave Ste 205, Corona, CA 92879-3144 Ph: (951) 281-2730

Reviews and Comments

Physician Assistant Nurses in Corona, CA

Ms. Hayley Megan Lynam, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2250 S Main St Ste 106, Corona, CA 92882 Phone: 951-371-2703 Fax: 951-371-9348
Ayla Nicole Szmurlo, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2250 S Main St Ste 104, Corona, CA 92882 Phone: 951-737-1454
Alejandra Guzman-ibarra, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 770 Magnolia Ave Ste 2a, Corona, CA 92879 Phone: 951-736-8144
Cheryl Jane Sapida, P.A Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 S Main St, Corona, CA 92882 Phone: 909-736-6241
Erika Crystal Reyes, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 127 N Mckinley St Ste 101, Corona, CA 92879 Phone: 951-278-2600
Scott Matthew Brown, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 800 S Main St, Corona, CA 92882 Phone: 909-736-6241
Michael Eng, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 760 Washburn Ave Ste 5, Corona, CA 92882 Phone: 951-737-0910 Fax: 951-371-1906

Mr Ryan Black, PA-C - Medicare Physician Assistant in Corona, CA