Renata Victora Black, FNP in Richardson, TX - Medicare Nurse Practitioner

Renata Victora Black, FNP is a medicare enrolled "Nurse Practitioner - Family" in Richardson, Texas. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Honestar Wound Care Pllc, Spencer J Hardenbrook Md Pc and her current practice location is 2011 N Collins Blvd Ste 607, Richardson, Texas. You can reach out to her office (for appointments etc.) via phone at (800) 640-3451.

Renata Victora Black is licensed to practice in Texas (license number AP141722) 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 1083272546.

Contact Information

	Renata Victora Black, FNP
	2011 N Collins Blvd Ste 607, Richardson, TX 75080-2636
	(800) 640-3451
	Not Available

Map and Direction

Provider's Profile

Full Name	Renata Victora Black
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	2011 N Collins Blvd Ste 607, Richardson, Texas
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:

Renata Victora Black graduated from nursing school in 2018

NPI Data:

NPI Number: 1083272546
Provider Enumeration Date: 05/30/2019
Last Update Date: 02/14/2024

Medicare PECOS Information:

PECOS PAC ID: 7214336254
Enrollment ID: I20210525001867

Medical Identifiers

Medical identifiers for Renata Victora Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083272546	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP141722 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Honestar Wound Care Pllc	1456761550	44
Spencer J Hardenbrook Md Pc	2062733546	73

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. Renata Victora Black allows following entities to bill medicare on her behalf.

Entity Name	Honestar Wound Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508470170 PECOS PAC ID: 1456761550 Enrollment ID: O20201030001343

Entity Name	Spencer J Hardenbrook Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073909594 PECOS PAC ID: 2062733546 Enrollment ID: O20240209002127

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. Renata Victora 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
Renata Victora Black, FNP 3301 Matlock Rd, Arlington, TX 76015-2908 Ph: (682) 509-2200	Renata Victora Black, FNP 2011 N Collins Blvd Ste 607, Richardson, TX 75080-2636 Ph: (800) 640-3451

Reviews and Comments

Nurse Practitioner Nurses in Richardson, TX

Precious Cunningham, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4011 E Renner Rd Ste 110, Richardson, TX 75082 Phone: 972-234-3299
Simona E Arnautov, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3001 E President George Bush Hwy Ste 175, Richardson, TX 75082 Phone: 214-635-5701 Fax: 844-289-7691
Bobbi Bridges, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1164 Commerce Dr, Richardson, TX 75081 Phone: 210-693-5119
Mrs. Rugare Mugabe Khosa, APRN FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 708 W Spring Valley Rd, Richardson, TX 75080 Phone: 214-570-9400 Fax: 972-792-7268
Jamie Lynn Hulm, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 399 W Campbell Rd Ste 303, Richardson, TX 75080 Phone: 972-835-1112
Caroline Elise Barber, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1129 Southwestern Dr, Richardson, TX 75081 Phone: 972-824-9436
Mrs. Nichole Lynette Straughter, MSN,APRN,FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2011 N Collins Blvd Ste 607, Richardson, TX 75080 Phone: 800-640-3451

Renata Victora Black, FNP - Medicare Nurse Practitioner in Richardson, TX