Matthew L Black, MS, RDN, LD - Medicare Dietitian in Columbus, OH

Matthew L Black, MS, RDN, LD is a medicare enrolled "Dietitian, Registered" provider in Columbus, Ohio. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. He is a member of the group practice Osu General Internal Medicine Llc and his current practice location is 410 W 10th Ave, W180 Doan Hall, Columbus, Ohio. You can reach out to his office (for appointments etc.) via phone at (614) 293-8036.

Matthew L Black is licensed to practice in Ohio (license number 5343) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366922247.

Contact Information

Matthew L Black, MS, RDN, LD
410 W 10th Ave, W180 Doan Hall,
Columbus, OH 43210
(614) 293-8036
(614) 293-3780

Map and Direction




Healthcare Provider's Profile

Full NameMatthew L Black
GenderMale
SpecialityRegistered Dietitian Or Nutrition Professional
Experience19 Years
Location410 W 10th Ave, Columbus, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Matthew L Black graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1366922247
  • Provider Enumeration Date: 08/20/2018
  • Last Update Date: 08/20/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9436048493
  • Enrollment ID: I20040315001282

Medical Identifiers

Medical identifiers for Matthew L Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366922247NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 5343 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osu General Internal Medicine Llc7517103955243

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. Matthew L Black allows following entities to bill medicare on his behalf.
Provider NameOsu Family Practice Services
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1659339653
PECOS PAC ID: 9032023874
Enrollment ID: O20031117000511
Provider NameOsu General Internal Medicine Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1689919599
PECOS PAC ID: 7517103955
Enrollment ID: O20130409000603

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. Matthew 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 AddressPractice Location Address
Matthew L Black, MS, RDN, LD
410 W 10th Ave, W180 Doan Hall,
Columbus, OH 43210

Ph: (614) 293-8036
Matthew L Black, MS, RDN, LD
410 W 10th Ave, W180 Doan Hall,
Columbus, OH 43210

Ph: (614) 293-8036

Reviews and Comments


Dietitian, Registered in Columbus, OH

Kearson Petruzzi, MS, RD, LDN
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Mrs. Kaleigh Michel Tjoelker, RDN
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Sheela S Thomas, RD
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Phone: 614-293-2300    Fax: 614-293-3740
Heather Colleen Mccormick, M.S., R.D., L.D.
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Phone: 614-437-2880    Fax: 614-278-3143
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Phone: 614-366-1784    

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.