Dr Benjamin Jacob Black, DPT in Louisville, CO - Medicare Physical Therapist Provider

Dr Benjamin Jacob Black, DPT is a medicare enrolled "Physical Therapist" provider in Louisville, Colorado. His current practice location is 315 W South Boulder Rd Ste 100, Louisville, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 666-4151.

Dr Benjamin Jacob Black is licensed to practice in Colorado (license number PTL.0016752) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114558590.

Contact Information

	Dr Benjamin Jacob Black, DPT
	315 W South Boulder Rd Ste 100, Louisville, CO 80027-1157
	(303) 666-4151
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Benjamin Jacob Black
Gender	Male
Speciality	Physical Therapist
Location	315 W South Boulder Rd Ste 100, Louisville, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114558590
Provider Enumeration Date: 02/04/2020
Last Update Date: 02/04/2020

Medicare PECOS Information:

PECOS PAC ID: 3173950599
Enrollment ID: I20200225001763

Medical Identifiers

Medical identifiers for Dr Benjamin Jacob Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114558590	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PTL.0016752 (Colorado)	Primary

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. Dr Benjamin Jacob Black allows following entities to bill medicare on his behalf.

Provider Name	Coal Creek Physical Therapy, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1740238120 PECOS PAC ID: 9133014160 Enrollment ID: O20111202000432

Provider Name	Fusion Rehab And Wellness
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1700497013 PECOS PAC ID: 9032521448 Enrollment ID: O20201209000241

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. Dr Benjamin Jacob 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
Dr Benjamin Jacob Black, DPT 315 W South Boulder Rd Ste 100, Louisville, CO 80027-1157 Ph: (303) 666-4151	Dr Benjamin Jacob Black, DPT 315 W South Boulder Rd Ste 100, Louisville, CO 80027-1157 Ph: (303) 666-4151

Reviews and Comments

Physical Therapist in Louisville, CO

James Richard Walsh Jr., DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 80 Health Park Dr, Suite 230, Louisville, CO 80027 Phone: 303-665-2603 Fax: 303-665-2605
Kimberly Deboy, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 80 Health Park Dr, Suite 230, Louisville, CO 80027 Phone: 303-665-2603 Fax: 303-665-2605
Kidspot Pediatric Therapies Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 165 Mccaslin Blvd., Suite B, Louisville, CO 80027 Phone: 303-604-6441 Fax: 303-957-1955
Julia Obrien, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 335 W South Boulder Rd Ste 1, Louisville, CO 80027 Phone: 303-954-8423
Dr. Carissa Marie Wengrovius, P.T., D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Main St Ste 10, Louisville, CO 80027 Phone: 303-604-6441
A Marshall Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 917 Cypress Ln, Louisville, CO 80027 Phone: 248-376-1781
Lindsay A Mayors, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 Main St Ste 10, Louisville, CO 80027 Phone: 303-604-6441 Fax: 303-957-1955

Dr Benjamin Jacob Black, DPT - Medicare Physical Therapist in Louisville, CO