Jhared Black, DMD - Medicare Dentist in Matteson, IL

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Jhared Black, DMD is a medicare enrolled "Dentist" provider in Matteson, Illinois. His current practice location is 135 Henson Ct, Matteson, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 743-9685.

Jhared Black is licensed to practice in Illinois (license number 019030918) 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 1578017505.

Contact Information

Jhared Black, DMD
135 Henson Ct,
Matteson, IL 60443-3012
(708) 743-9685
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJhared Black
GenderMale
SpecialityDentist
Location135 Henson Ct, Matteson, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578017505
  • Provider Enumeration Date: 08/08/2016
  • Last Update Date: 07/02/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3577970904
  • Enrollment ID: I20220627001761

Medical Identifiers

Medical identifiers for Jhared Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578017505NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 12013820A (Indiana)Secondary
122300000XDentist 019030918 (Illinois)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. Jhared Black allows following entities to bill medicare on his behalf.
Entity NamePorter-starke Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689627598
PECOS PAC ID: 1951293554
Enrollment ID: O20040330000098
Entity NameCommunity Healthnet Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952332298
PECOS PAC ID: 6305852344
Enrollment ID: O20060228000318

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. Jhared 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
Jhared Black, DMD
3677 Sauk Trl,
Richton Park, IL 60471-1461

Ph: (708) 481-2288		Jhared Black, DMD
135 Henson Ct,
Matteson, IL 60443-3012

Ph: (708) 743-9685

Reviews and Comments


Dentist in Matteson, IL

Dr. Robert J Manasse, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4440 Lincoln Hwy, Suite 300, Matteson, IL 60443
Phone: 708-481-6086    Fax: 708-481-2525
Dr. William C Selmer, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 3716 W 217th St., Matteson, IL 60443
Phone: 305-992-3339    
Dr. Harold K Shinsky, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4557a. Lincoln Mall Drive, Matteson, IL 60443
Phone: 708-747-7447    

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.