Mrs Dawn Michelle Black, APRN FNP-C ACHPN is a medicare enrolled "Nurse Practitioner - Family" in Columbus, Michigan. Her current practice location is
2372 Kronner Rd, Columbus, Michigan. You can reach out to her office (for appointments etc.) via phone at
(810) 300-0323.
Mrs Dawn Michelle Black is licensed to practice in Michigan (license number 4704213611) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1669985792.
Provider's Profile
Full Name | Mrs Dawn Michelle Black |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 2372 Kronner Rd, Columbus, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669985792
- Provider Enumeration Date: 11/11/2017
- Last Update Date: 04/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 6406118934
- Enrollment ID: I20180322000080
Medical Identifiers
Medical identifiers for Mrs Dawn Michelle Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669985792 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 4704213611 (Michigan) | 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. Mrs Dawn Michelle Black allows following entities to bill medicare on her behalf.
Entity Name | Henry Ford Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341 |
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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 Dawn Michelle 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 |
Mrs Dawn Michelle Black, APRN FNP-C ACHPN 2372 Kronner Rd, Columbus, MI 48063-3404 Ph: (810) 300-0323 | Mrs Dawn Michelle Black, APRN FNP-C ACHPN 2372 Kronner Rd, Columbus, MI 48063-3404 Ph: (810) 300-0323 |
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