Mrs Laurie Ann Black, RN, FNP-C in Columbus, IN

Mrs Laurie Ann Black, RN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Columbus, Indiana. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Columbus Regional Health Physicians Llc and her current practice location is 2138 25th St Ste F, Columbus, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 376-3100.

Mrs Laurie Ann Black is licensed to practice in Indiana (license number 71009191A) 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 1376109736.

Contact Information

	Mrs Laurie Ann Black, RN, FNP-C
	2138 25th St Ste F, Columbus, IN 47201-3241
	(812) 376-3100
	(812) 378-6191

Map and Direction

Provider's Profile

Full Name	Mrs Laurie Ann Black
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	2138 25th St Ste F, Columbus, Indiana
Accepts Medicare Assignments	Yes. 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 Laurie Ann Black graduated from nursing school in 2019

NPI Data:

NPI Number: 1376109736
Provider Enumeration Date: 05/11/2019
Last Update Date: 05/08/2024

Medicare PECOS Information:

PECOS PAC ID: 6709114796
Enrollment ID: I20190829001454

Medical Identifiers

Medical identifiers for Mrs Laurie Ann Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376109736	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	28200199A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71009191A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Columbus Regional Hospital	Columbus, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Columbus Regional Health Physicians Llc	1052612314	196

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 Laurie Ann Black allows following entities to bill medicare on her behalf.

Entity Name	Columbus Regional Health Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336510098 PECOS PAC ID: 1052612314 Enrollment ID: O20151211000054

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190903001552

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 Laurie Ann 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 Laurie Ann Black, RN, FNP-C Po Box 775383, Chicago, IL 60677-5383 Ph: (812) 376-5315	Mrs Laurie Ann Black, RN, FNP-C 2138 25th St Ste F, Columbus, IN 47201-3241 Ph: (812) 376-3100

Reviews and Comments

Nurse Practitioner Nurses in Columbus, IN

Carrie Butcher, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2423 N National Rd, Columbus, IN 47201 Phone: 812-372-7804
Tatiana D. Doran, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2502 25th St, Columbus, IN 47201 Phone: 812-372-8883 Fax: 812-372-8964
Samantha Grider, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2325 18th St Ste 220, Columbus, IN 47201 Phone: 812-376-5640
Carolyn Behling, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2325 18th St Ste 130, Columbus, IN 47201 Phone: 812-379-2020
Mrs. Diane Kaye Hirtzel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 720 N Marr Rd Ste A, Columbus, IN 47201 Phone: 812-314-3400
Shelley L Clark, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 815 Schnier St, Columbus, IN 47201 Phone: 812-376-5780 Fax: 812-376-5781
Denise Neawedde, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2118 25th St Ste J, Columbus, IN 47201 Phone: 812-375-3660

Mrs Laurie Ann Black, RN, FNP-C - Medicare Nurse Practitioner in Columbus, IN