Mrs Amy Elizabeth Black, NP-C - Medicare Nurse Practitioner in Petersburg, VA

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Mrs Amy Elizabeth Black, NP-C is a medicare enrolled "Nurse Practitioner" in Petersburg, Virginia. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice On Site Dermatology Llc and her current practice location is 44 Medical Park Blvd Ste A, Petersburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 324-4511.

Mrs Amy Elizabeth Black is licensed to practice in Virginia (license number 0024165724) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902994106.

Contact Information

Mrs Amy Elizabeth Black, NP-C
44 Medical Park Blvd Ste A,
Petersburg, VA 23805-9351
(804) 324-4511
(804) 835-5103

Map and Direction




Provider's Profile

Full NameMrs Amy Elizabeth Black
GenderFemale
SpecialityNurse Practitioner
Experience22 Years
Location44 Medical Park Blvd Ste A, Petersburg, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Amy Elizabeth Black graduated from nursing school in 2002
  NPI Data:
  • NPI Number: 1902994106
  • Provider Enumeration Date: 10/11/2006
  • Last Update Date: 08/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5092763920
  • Enrollment ID: I20050107000380

Medical Identifiers

Medical identifiers for Mrs Amy Elizabeth Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902994106NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 0001177817 (Virginia)Secondary
363LA2100XNurse Practitioner - Acute Care 0024165724 (Virginia)Secondary
363LA2200XNurse Practitioner - Adult Health 0024165724 (Virginia)Secondary
363L00000XNurse Practitioner 0024165724 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
On Site Dermatology Llc599173683719

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. Mrs Amy Elizabeth Black allows following entities to bill medicare on her behalf.
Entity NameOn Site Dermatology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215978713
PECOS PAC ID: 5991736837
Enrollment ID: O20150216000518
Entity NamePaladin Dermatology Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225417082
PECOS PAC ID: 2163737123
Enrollment ID: O20150819009136

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. Mrs Amy Elizabeth 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
Mrs Amy Elizabeth Black, NP-C
801 York St,
Manitowoc, WI 54220-4630

Ph: (920) 663-9008		Mrs Amy Elizabeth Black, NP-C
44 Medical Park Blvd Ste A,
Petersburg, VA 23805-9351

Ph: (804) 324-4511

Reviews and Comments


Nurse Practitioner Nurses in Petersburg, VA

Ms. Nancy Joyner Gauldin, CNP
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Medicare: Not Enrolled in Medicare
Practice Location: 301 Halifax St, Petersburg, VA 23803
Phone: 804-863-1652    Fax: 804-862-6126
Olivia Mendoza, NP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 269 Medical Park Blvd, Petersburg, VA 23805
Phone: 804-861-0700    
Linda P. Whiteley, NP
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Practice Location: 301 Halifax St, Petersburg, VA 23803
Phone: 804-862-1652    
Jocelyn L Burls, NP-C
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Medicare: Not Enrolled in Medicare
Practice Location: 321c Poplar Dr, Petersburg, VA 23805
Phone: 804-733-5591    
Chiquita Michone Thomas-jackson, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3916 S Crater Rd, Petersburg, VA 23805
Phone: 804-526-4300    
Ms. Erica Lynn Bagby, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 321c Poplar Dr, Petersburg, VA 23805
Phone: 804-733-5591    Fax: 804-733-3506
Ms. Evelyn Maria Cason, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 849 S Sycamore St Ste A, Petersburg, VA 23803
Phone: 804-715-1031    Fax: 804-203-4722

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.