Michelle Black, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Jacksonville, FL

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Michelle Black, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jacksonville, Florida. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Us Anesthesia Partners Of Florida Inc and her current practice location is 655 W 8th St, Ufjax - Dept. Of Anesthesiology, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 244-4195.

Michelle Black is licensed to practice in Florida (license number ARNP3014652) 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 1205132826.

Contact Information

Michelle Black, CRNA
655 W 8th St, Ufjax - Dept. Of Anesthesiology,
Jacksonville, FL 32209-6511
(904) 244-4195
(904) 244-4908

Map and Direction




Provider's Profile

Full NameMichelle Black
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience14 Years
Location655 W 8th St, Jacksonville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michelle Black graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1205132826
  • Provider Enumeration Date: 01/28/2011
  • Last Update Date: 08/20/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7517140338
  • Enrollment ID: I20110331000393

Medical Identifiers

Medical identifiers for Michelle Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205132826NPI-NPPES
003109285BMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered ARNP3014652 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health Medical Center - JacksonvilleJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Us Anesthesia Partners Of Florida Inc0345143152786

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. Michelle Black allows following entities to bill medicare on her behalf.
Entity NameUs Anesthesia Partners Of Florida Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518910520
PECOS PAC ID: 0345143152
Enrollment ID: O20040129000594
Entity NameFleming Island Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487945895
PECOS PAC ID: 6002084860
Enrollment ID: O20110721000345
Entity NameRiverside Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134478209
PECOS PAC ID: 4688824600
Enrollment ID: O20121026000522
Entity NameSunbelt Anesthesia Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205172079
PECOS PAC ID: 9436392438
Enrollment ID: O20130823000172
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20190820001117

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. Michelle 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 AddressPractice Location Address
Michelle Black, CRNA
Po Box 44008, Ufjp - Provider Enrollment,
Jacksonville, FL 32231-4008

Ph: (904) 244-3199		Michelle Black, CRNA
655 W 8th St, Ufjax - Dept. Of Anesthesiology,
Jacksonville, FL 32209-6511

Ph: (904) 244-4195

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.