Levi Colter Black, CRNA in Roswell, NM - Medicare Certified Registered Nurse Anesthetist (crna)

Levi Colter Black, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Roswell, New Mexico. He graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Northeastern Anesthesia Pllc and his current practice location is 117 E 19th St, Roswell, New Mexico. You can reach out to his office (for appointments etc.) via phone at (814) 877-2137.

Levi Colter Black is licensed to practice in Arizona (license number CRNA0680) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508185760.

Contact Information

	Levi Colter Black, CRNA
	117 E 19th St, Roswell, NM 88201-5151
	(814) 877-2137
	Not Available

Map and Direction

Provider's Profile

Full Name	Levi Colter Black
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	10 Years
Location	117 E 19th St, Roswell, New Mexico
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Levi Colter Black graduated from nursing school in 2014

NPI Data:

NPI Number: 1508185760
Provider Enumeration Date: 05/26/2010
Last Update Date: 07/05/2021

Medicare PECOS Information:

PECOS PAC ID: 8325179534
Enrollment ID: I20100702000508

Medical Identifiers

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

Identifier	Type	State	Issuer
1508185760	NPI	-	NPPES
528136	Medicaid	AZ
1508185760	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	CRNA0680 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Summit Healthcare Regional Medical Center	Show low, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northeastern Anesthesia Pllc	4284813940	17

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. Levi Colter Black allows following entities to bill medicare on his behalf.

Entity Name	Northeastern Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487956504 PECOS PAC ID: 4284813940 Enrollment ID: O20110126001051

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. Levi Colter 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
Levi Colter Black, CRNA 530b Harkle Rd Ste 100, Santa Fe, NM 87505-4739 Ph: (480) 254-1430	Levi Colter Black, CRNA 117 E 19th St, Roswell, NM 88201-5151 Ph: (814) 877-2137

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Roswell, NM

Mr. Mark David Murley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 117 E 19th St, Roswell, NM 88201 Phone: 575-624-2095
Michael S Berg, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 405 W Country Club Rd, Roswell, NM 88201 Phone: 505-622-8170 Fax: 505-624-8711
Christopher Mathew Lynn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Country Club Rd, Roswell, NM 88201 Phone: 575-622-8170
Stefania Rok, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Country Club Rd, Roswell, NM 88201 Phone: 575-622-8170
Sheila M Fitzgerald, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 405 W Country Club Rd, Roswell, NM 88201 Phone: 575-622-8170
Sharniqua Holland, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 405 W Country Club Rd, Roswell, NM 88201 Phone: 575-392-7798
Joy Lee Lindgren, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 405 W Country Club Rd, Roswell, NM 88201 Phone: 505-622-8170 Fax: 505-624-8711

Levi Colter Black, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Roswell, NM