Dr Lawrence Richard Black, DO in Fort Myers, FL

Dr Lawrence Richard Black, DO is a medicare enrolled "Surgery" physician in Fort Myers, Florida. His current practice location is 13691 Metro Pkwy, 350, Fort Myers, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 768-5313.

Dr Lawrence Richard Black is licensed to practice in Florida (license number 055736) 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 1114035284.

Contact Information

	Dr Lawrence Richard Black, DO
	13691 Metro Pkwy, 350, Fort Myers, FL 33912-4327
	(239) 768-5313
	(239) 768-9559

Map and Direction

Physician's Profile

Full Name	Dr Lawrence Richard Black
Gender	Male
Speciality	Surgery
Location	13691 Metro Pkwy, Fort Myers, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114035284
Provider Enumeration Date: 08/28/2006
Last Update Date: 04/25/2016

Medicare PECOS Information:

PECOS PAC ID: 0840357356
Enrollment ID: I20090327000573

Medical Identifiers

Medical identifiers for Dr Lawrence Richard Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114035284	NPI	-	NPPES
2972830	Other	FL	CIGNA
007256700	Medicaid	FL
80628	Other	FL	BCBS
15649	Other	FL	WELLCARE
4478694	Other	FL	AETNA
375522300	Medicaid	FL
P01192863	Other	FL	RAILROAD MCR
P304402	Other	FL	FREEDOM HEALTH
212724	Other	FL	AVMED
80628	Other	FL	BCBS FL
P946386	Other	FL	OPTIMUM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	055736 (Florida)	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. Dr Lawrence Richard Black allows following entities to bill medicare on his behalf.

Entity Name	Genesiscare Usa Of Florida Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134109747 PECOS PAC ID: 9830082882 Enrollment ID: O20040204000663

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. Dr Lawrence Richard 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 Address	Practice Location Address
Dr Lawrence Richard Black, DO 2234 Colonial Blvd, Attn: Payer Contracting & Relations, Fort Myers, FL 33907-1412 Ph: (239) 931-7342	Dr Lawrence Richard Black, DO 13691 Metro Pkwy, 350, Fort Myers, FL 33912-4327 Ph: (239) 768-5313

Reviews and Comments

Surgery Doctors in Fort Myers, FL

Dr. Scott B Patterson, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2780 Cleveland Ave Ste 702, Fort Myers, FL 33901 Phone: 239-343-3474 Fax: 239-343-2968
Joseph Froilan Yurich, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15730 New Hampshire Ct, Fort Myers, FL 33908 Phone: 239-481-0033 Fax: 321-966-8322
Dr. Rachel A Titus, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13778 Plantation Rd, Fort Myers, FL 33912 Phone: 239-343-0454 Fax: 239-343-1075
Dr. Kendrick D Mcarthur, D.O Surgery Medicare: Accepting Medicare Assignments Practice Location: 21 Barkley Cir, Fort Myers, FL 33907 Phone: 239-939-2616 Fax: 239-939-9093
Lilly Ann Bayouth, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 13685 Doctors Way Ste 100, Fort Myers, FL 33912 Phone: 239-343-1612 Fax: 239-343-4229
Dr. John Anthony Moss, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6821 Palisades Park Ct Ste 1, Fort Myers, FL 33912 Phone: 239-936-8555 Fax: 239-936-5611
Dr. Holland Taylor Korbitz, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 8380 Riverwalk Park Blvd Ste 100, Fort Myers, FL 33919 Phone: 239-343-9960 Fax: 239-343-9977

Dr Lawrence Richard Black, DO - Medicare Surgery in Fort Myers, FL