Mrs Amy L Black, CNP in Logan, OH - Medicare Nurse Practitioner

Mrs Amy L Black, CNP is a medicare enrolled "Nurse Practitioner - Family" in Logan, Ohio. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hopewell Health Centers Inc and her current practice location is 30381 Chieftain Dr, Logan, Ohio. You can reach out to her office (for appointments etc.) via phone at (740) 385-2555.

Mrs Amy L Black is licensed to practice in Ohio (license number RN275748- COA1) 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 1033424148.

Contact Information

	Mrs Amy L Black, CNP
	30381 Chieftain Dr, Logan, OH 43138-9092
	(740) 385-2555
	(740) 380-3750

Map and Direction

Provider's Profile

Full Name	Mrs Amy L Black
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	30381 Chieftain Dr, Logan, Ohio
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:

Mrs Amy L Black graduated from nursing school in 2010

NPI Data:

NPI Number: 1033424148
Provider Enumeration Date: 08/12/2010
Last Update Date: 11/04/2019

Medicare PECOS Information:

PECOS PAC ID: 9739374802
Enrollment ID: I20101115000819

Medical Identifiers

Medical identifiers for Mrs Amy L Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033424148	NPI	-	NPPES
3124318	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	NP-11608 (Ohio)	Secondary
363LF0000X	Nurse Practitioner - Family	RN275748- COA1 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Hocking Valley Community Hospital	Logan, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hopewell Health Centers Inc	9234049990	48

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. Mrs Amy L Black allows following entities to bill medicare on her behalf.

Entity Name	Hopewell Health Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699010348 PECOS PAC ID: 9234049990 Enrollment ID: O20110209000712

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. Mrs Amy L 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
Mrs Amy L Black, CNP Po Box 188, Chillicothe, OH 45601-0188 Ph: (740) 773-4366	Mrs Amy L Black, CNP 30381 Chieftain Dr, Logan, OH 43138-9092 Ph: (740) 385-2555

Reviews and Comments

Nurse Practitioner Nurses in Logan, OH

Holly Christine Smith, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000
Amanda Downs Davis, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1383 W Hunter St, Logan, OH 43138 Phone: 740-385-0202 Fax: 740-380-2734
Kaitlin E. Angle, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 State Route 664 N, Logan, OH 43138 Phone: 740-380-8000
Brett Wilson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 541 State Route 664 N, Suite C, Logan, OH 43138 Phone: 740-385-6594 Fax: 740-380-0852
Patrick Howe, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 541 Sr 664 N Suite C, Logan, OH 43138 Phone: 740-385-6594 Fax: 740-774-6617
Bethany Ann Jagers, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30381 Chieftain Dr, Logan, OH 43138 Phone: 740-385-2555 Fax: 740-380-3730

Mrs Amy L Black, CNP - Medicare Nurse Practitioner in Logan, OH