Crane Antawan Niblack, MD is a medicare enrolled "General Practice" physician in North Bay Village, Florida. He graduated from medical school in 2007 and has 19 years of diverse experience with area of expertise as General Practice. He is a member of the group practice Conviva Medical Center Management, Llc and his current practice location is
1700 79th Street Cswy Ste 120, North Bay Village, Florida. You can reach out to his office (for appointments etc.) via phone at
(305) 726-2177.
Crane Antawan Niblack is licensed to practice in Florida (license number ME163136) 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 1568628139.
Physician's Profile
| Full Name | Crane Antawan Niblack |
|---|
| Gender | Male |
|---|
| Speciality | General Practice |
|---|
| Experience | 19 Years |
|---|
| Location | 1700 79th Street Cswy Ste 120, North Bay Village, Florida |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Crane Antawan Niblack graduated from medical school in 2007
NPI Data:
- NPI Number: 1568628139
- Provider Enumeration Date: 08/04/2008
- Last Update Date: 09/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 5294951869
- Enrollment ID: I20240723004702
Medical Identifiers
Medical identifiers for Crane Antawan Niblack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568628139 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 0101253456 (Virginia) | Secondary |
| 208D00000X | General Practice | ME163136 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Conviva Medical Center Management, Llc | 4284717422 | 491 |
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. Crane Antawan Niblack allows following entities to bill medicare on his behalf.
| Entity Name | Rmed Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1508815358
PECOS PAC ID: 6608768411
Enrollment ID: O20040326000760 |
|---|
| Entity Name | Conviva Medical Center Management, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1649324278
PECOS PAC ID: 4284717422
Enrollment ID: O20080212000415 |
|---|
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. Crane Antawan Niblack 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 |
|---|
Crane Antawan Niblack, MD
6101 Blue Lagoon Dr Ste 200,
Miami, FL 33126-3168
Ph: () - | Crane Antawan Niblack, MD
1700 79th Street Cswy Ste 120,
North Bay Village, FL 33141-4197
Ph: (305) 726-2177 |
Reviews and Comments