Elizabeth Ashley Black, MD - Medicare Pediatrics in Clovis, CA

  1. Home
  2. Pediatrics
  3. CA
  4. Clovis
Elizabeth Ashley Black, MD is a medicare enrolled "Pediatrics - Pediatric Nephrology" physician in Clovis, California. Her current practice location is 726 N Medical Center Dr E Ste 209, Clovis, California. You can reach out to her office (for appointments etc.) via phone at (559) 325-5656.

Elizabeth Ashley Black is licensed to practice in California (license number A151555) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043697113.

Contact Information

Elizabeth Ashley Black, MD
726 N Medical Center Dr E Ste 209,
Clovis, CA 93611-6886
(559) 325-5656
(559) 325-5568

Map and Direction




Physician's Profile

Full NameElizabeth Ashley Black
GenderFemale
SpecialityPediatrics - Pediatric Nephrology
Location726 N Medical Center Dr E Ste 209, Clovis, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043697113
  • Provider Enumeration Date: 04/28/2015
  • Last Update Date: 08/05/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7517212467
  • Enrollment ID: I20210818003484

Medical Identifiers

Medical identifiers for Elizabeth Ashley Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043697113NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics A151555 (California)Secondary
2080B0002XPediatrics - Obesity Medicine A151555 (California)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2080P0210XPediatrics - Pediatric Nephrology A151555 (California)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. Elizabeth Ashley Black allows following entities to bill medicare on her behalf.
Entity NameUcsf Pediatrics Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376614016
PECOS PAC ID: 6204749112
Enrollment ID: O20031106000823
Entity NameUniversity Of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Entity NameUcsf Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513
Entity NameCommunity Health Partners
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952912420
PECOS PAC ID: 6608280268
Enrollment ID: O20210122001714

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. Elizabeth Ashley 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
Elizabeth Ashley Black, MD
2625 E Divisadero St,
Fresno, CA 93721-1431

Ph: (559) 443-2682		Elizabeth Ashley Black, MD
726 N Medical Center Dr E Ste 209,
Clovis, CA 93611-6886

Ph: (559) 325-5656

Reviews and Comments


Pediatrics Doctors in Clovis, CA

Dr. Dianne Hubbard, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 275 W Herndon Ave, Clovis, CA 93612
Phone: 559-324-6200    Fax: 559-324-6280
Dr. Merle Martin, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 275 W Herndon Ave, Clovis, CA 93612
Phone: 559-324-6200    Fax: 559-324-6280
Manish Babaji Malkar, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 726 N Medical Center Dr E Ste 209, Clovis, CA 93611
Phone: 559-325-5568    Fax: 559-325-5656
Norma E. Figueroa, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2071 Herndon Ave, Clovis, CA 93611
Phone: 559-324-5100    
Dr. Menouchehr Bazyani, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2497 Herndon Ave, Clovis, CA 93611
Phone: 800-492-4227    
John Moua, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 726 N Medical Center Dr E Ste 209, Clovis, CA 93611
Phone: 559-325-5656    Fax: 559-325-5568

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.