Mrs Lida Black, RN is a
Registered Nurse based in Silverstreet, South Carolina. Mrs Lida Black is licensed to practice in South Carolina (license number 15126) and her current practice location is
1899 Island Ford Rd, Silverstreet, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(803) 276-8813.
NPI number for Mrs Lida Black is 1477965515 and her current mailing address is 1899 Island Ford Rd, Silverstreet, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477965515.
Provider's Profile
Full Name | Mrs Lida Black |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 1899 Island Ford Rd, Silverstreet, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477965515
- Provider Enumeration Date: 05/23/2014
- Last Update Date: 05/23/2014
Medical Identifiers
Medical identifiers for Mrs Lida Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477965515 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 15126 (South Carolina) | 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. Mrs Lida Black is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Lida Black, RN 1899 Island Ford Rd, Silverstreet, SC 29145-9340 Ph: (803) 276-8813 | Mrs Lida Black, RN 1899 Island Ford Rd, Silverstreet, SC 29145-9340 Ph: (803) 276-8813 |
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