| Dr Jenna E Black, MD | |
|
2131 S 17th St, Wilmington, NC 28401-7407 | |
| (910) 442-1100 | |
| Not Available |
| Full Name | Dr Jenna E Black |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Experience | 25 Years |
| Location | 2131 S 17th St, Wilmington, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750333951 | NPI | - | NPPES |
| 8913699 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 400640 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vidant Duplin Hospital | Kenansville, NC | Hospital |
| New Hanover Regional Medical Center | Wilmington, NC | Hospital |
| Pender Memorial Hospital | Burgaw, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Duplin General Hospital Incorporated | 4587575337 | 6 |
| Southeast Anesthesiology Consultants Pllc | 7719959873 | 73 |
| Entity Name | American Anesthesiology Of North Carolina Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033412267 PECOS PAC ID: 2961316450 Enrollment ID: O20031118000860 |
| Entity Name | Duplin General Hospital Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942478383 PECOS PAC ID: 4587575337 Enrollment ID: O20040127000217 |
| Entity Name | Southeast Anesthesiology Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538124201 PECOS PAC ID: 7719959873 Enrollment ID: O20040809001398 |
| Entity Name | Chatham Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689967457 PECOS PAC ID: 4284807868 Enrollment ID: O20111026000545 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jenna E Black, MD 2520 Independence Blvd Ste 200, Wilmington, NC 28412-2482 Ph: (910) 442-1100 | Dr Jenna E Black, MD 2131 S 17th St, Wilmington, NC 28401-7407 Ph: (910) 442-1100 |
Thomas M Dalton, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-442-1100 Fax: 910-442-1199 | |
Mrs. Chelsea Kaylan Blanchard, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-7000 | |
Barry D Amos, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-442-1100 Fax: 910-442-1199 | |
Charles L Joachim, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 309 Bridgeton Ct, Wilmington, NC 28411 Phone: 910-681-1262 | |
Virgil E Bean, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-442-1100 Fax: 910-442-1199 | |
Dr. Mark Christian Grieb, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1801 S 17th St, Wilmington, NC 28401 Phone: 910-763-4555 Fax: 910-798-8923 | |
John S Pace, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-442-1100 Fax: 910-442-1199 |