Jhared Black, DMD - Medicare Dentist in Richton Park, IL

Jhared Black, DMD is a medicare enrolled "Dentist" provider in Richton Park, Illinois. His current practice location is 3677 Sauk Trl, Richton Park, Illinois. You can reach out to his office (for appointments etc.) via phone at (708) 481-2288.

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
3677 Sauk Trl,
Richton Park, IL 60471-1461
(708) 481-2288
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJhared Black
GenderMale
SpecialityDentist
Location3677 Sauk Trl, Richton Park, 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: 10/31/2016
  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
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 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
3677 Sauk Trl,
Richton Park, IL 60471-1461

Ph: (708) 481-2288

Reviews and Comments


Dentist in Richton Park, IL

Dr. Robert B Smith, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4343 Sauk Trl, Richton Park, IL 60471
Phone: 708-748-8181    Fax: 708-748-6002
Dr. Russell Hayward Gertsch, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 4343 Sauk Trl, Richton Park, IL 60471
Phone: 708-748-8181    Fax: 708-748-6002
Dr. Omar Kenneth Yeung, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 22117 Governors Hwy, Richton Park, IL 60471
Phone: 708-747-6610    Fax: 708-747-6703

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.