Jennifer M Black, MA, CCC-A in Urbana, IL - Medicare Qualified Audiologist Provider

Jennifer M Black, MA, CCC-A is a medicare enrolled "Audiologist" provider in Urbana, Illinois. She graduated from medical school in 1984 and has 42 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Carle Health Care Incorporated and her current practice location is 611 W. Park St., Urbana, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 383-3130.

Jennifer M Black is licensed to practice in Illinois (license number 147-000228) 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 1457379810.

Contact Information

	Jennifer M Black, MA, CCC-A
	611 W. Park St., Urbana, IL 61801-2500
	(217) 383-3130
	(217) 326-2336

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer M Black
Gender	Female
Speciality	Qualified Audiologist
Experience	42 Years
Location	611 W. Park St., Urbana, Illinois
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:

Jennifer M Black graduated from medical school in 1984

NPI Data:

NPI Number: 1457379810
Provider Enumeration Date: 07/17/2006
Last Update Date: 05/12/2014

Medicare PECOS Information:

PECOS PAC ID: 4486787397
Enrollment ID: I20100729000118

Medical Identifiers

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

Identifier	Type	State	Issuer
1457379810	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	147-000228 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carle Health Care Incorporated	3577515774	912

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. Jennifer M Black allows following entities to bill medicare on her behalf.

Provider Name	Carle Health Care Incorporated
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829

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. Jennifer M 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
Jennifer M Black, MA, CCC-A 611 W. Park St., Urbana, IL 61801-2500 Ph: (217) 383-6941	Jennifer M Black, MA, CCC-A 611 W. Park St., Urbana, IL 61801-2500 Ph: (217) 383-3130

Reviews and Comments

Audiologist in Urbana, IL

Ms. Danielle Edmondson, AUDIOLOGIST Audiologist Medicare: Not Enrolled in Medicare Practice Location: 810 W University Ave, Urbana, IL 61801 Phone: 217-326-2911 Fax: 217-344-8047
Mrs. Judith Ann Iversen, M.A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 709 W University Ave, Urbana, IL 61801 Phone: 217-383-3197 Fax: 217-383-3153
Joanna Capobianco, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 602 W University Ave, Urbana, IL 61801 Phone: 217-383-3130
Ms. Lee A Rotz, MA CCC-A, FAAA Audiologist Medicare: Not Enrolled in Medicare Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-4375 Fax: 217-326-2336
Tara Iddings, AU.D., CCC-A Audiologist Medicare: Accepting Medicare Assignments Practice Location: 602 W University Ave, Urbana, IL 61801 Phone: 217-383-3311
Ms. Julie A Wirth, AUDIOLOGIST Audiologist Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-4375 Fax: 217-326-2336
Lisa R Gibbs, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 611 W. Park St., Audiology, Urbana, IL 61801 Phone: 217-383-3130

Jennifer M Black, MA, CCC-A - Medicare Audiologist in Urbana, IL