Ms Theresa Ann Black, FNP-BC in Buckhannon, WV

Ms Theresa Ann Black, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Buckhannon, West Virginia. She graduated from nursing school in 2007 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Davis Memorial Hospital and her current practice location is 11 N Locust St, Buckhannon, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 472-1600.

Ms Theresa Ann Black is licensed to practice in West Virginia (license number 49062) 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 1790982080.

Contact Information

	Ms Theresa Ann Black, FNP-BC
	11 N Locust St, Buckhannon, WV 26201-4707
	(304) 472-1600
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Theresa Ann Black
Gender	Female
Speciality	Nurse Practitioner
Experience	18 Years
Location	11 N Locust St, Buckhannon, West Virginia
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:

Ms Theresa Ann Black graduated from nursing school in 2007

NPI Data:

NPI Number: 1790982080
Provider Enumeration Date: 06/29/2007
Last Update Date: 11/29/2023

Medicare PECOS Information:

PECOS PAC ID: 1254423080
Enrollment ID: I20070823000695

Medical Identifiers

Medical identifiers for Ms Theresa Ann Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790982080	NPI	-	NPPES
3810009382	Medicaid	WV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	49062 (West Virginia)	Secondary
363LF0000X	Nurse Practitioner - Family	49062 (West Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Davis Medical Center	Elkins, WV	Hospital
St Joseph's Hospital	Buckhannon, WV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Davis Memorial Hospital	3072418540	69

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

Entity Name	Davis Memorial Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619964806 PECOS PAC ID: 3072418540 Enrollment ID: O20040107000438

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. Ms Theresa 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
Ms Theresa Ann Black, FNP-BC 812 Gorman Avenue, Elkins, WV 26241 Ph: (304) 637-3456	Ms Theresa Ann Black, FNP-BC 11 N Locust St, Buckhannon, WV 26201-4707 Ph: (304) 472-1600

Reviews and Comments

Nurse Practitioner Nurses in Buckhannon, WV

Charleen Nicole Robinson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4 Northridge Dr Ste 118, Buckhannon, WV 26201 Phone: 304-473-1440 Fax: 304-473-1441
Amanda Jones, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Amalia Dr, Buckhannon, WV 26201 Phone: 304-473-2199 Fax: 304-473-2198
Mrs. Bonnie Jo Smith, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 59 College Avenue, Barnhart Memorial Student Health Center West Virginia W, Buckhannon, WV 26201 Phone: 304-473-8100 Fax: 304-473-8200
Amelia Roxie Barberio, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Amalia Dr, Buckhannon, WV 26201 Phone: 304-473-2000
Sara Beth Chipps, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Amalia Dr, Buckhannon, WV 26201 Phone: 304-473-2000
Kay Carpenter, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Amalia Dr, Buckhannon, WV 26201 Phone: 304-460-7979
Amy R Coffman, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21 Auction Ln, Buckhannon, WV 26201 Phone: 304-472-6041 Fax: 304-472-4371

Ms Theresa Ann Black, FNP-BC - Medicare Nurse Practitioner in Buckhannon, WV