Terry Black, CRNA in Boise, ID - Medicare Certified Registered Nurse Anesthetist (crna)

Terry Black, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Boise, Idaho. She graduated from nursing school in 1993 and has 31 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice St Alphonsus Professional Medical Services Llc and her current practice location is 1055 N Curtis Rd, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 367-6416.

Terry Black is licensed to practice in Idaho (license number RNA302) 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 1902843584.

Contact Information

	Terry Black, CRNA
	1055 N Curtis Rd, Boise, ID 83706-1352
	(208) 367-6416
	Not Available

Map and Direction

Provider's Profile

Full Name	Terry Black
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	31 Years
Location	1055 N Curtis Rd, Boise, Idaho
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:

Terry Black graduated from nursing school in 1993

NPI Data:

NPI Number: 1902843584
Provider Enumeration Date: 06/01/2006
Last Update Date: 11/20/2007

Medicare PECOS Information:

PECOS PAC ID: 0042403628
Enrollment ID: I20101015000660

Medical Identifiers

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

Identifier	Type	State	Issuer
1902843584	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	N22112 (Idaho)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RNA302 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Alphonsus Regional Medical Center	Boise, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Alphonsus Professional Medical Services Llc	7214849751	64

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. Terry Black allows following entities to bill medicare on her behalf.

Entity Name	Boise Anesthesia, P A
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487602298 PECOS PAC ID: 8426960642 Enrollment ID: O20031105000132

Entity Name	St Alphonsus Professional Medical Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386677524 PECOS PAC ID: 7214849751 Enrollment ID: O20040205001184

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. Terry 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
Terry Black, CRNA Po Box 4008, Portland, OR 97208-4008 Ph: (503) 372-2740	Terry Black, CRNA 1055 N Curtis Rd, Boise, ID 83706-1352 Ph: (208) 367-6416

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Boise, ID

Allison Elisabeth May, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222
Mr. Douglas Neurath, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 111 W State St, Boise, ID 83702 Phone: 208-336-0895
Jordan B Wolff, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 111 W State St, Boise, ID 83702 Phone: 208-336-0895 Fax: 208-338-1796
Nathan S Call, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 190 E Bannock St, Boise, ID 83712 Phone: 208-381-2222
Ashton Hope Mieritz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2121
Kenneth Clark Stratton Jr., CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-2559
Diana San Juan Shimko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1055 N Curtis Rd, Boise, ID 83706 Phone: 208-367-6416

Terry Black, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Boise, ID