Jennifer Michelle Black, MD in Vista, CA - Medicare Internal Medicine

Jennifer Michelle Black, MD is a medicare enrolled "Internal Medicine" physician in Vista, California. She went to University Of Wisconsin School Of Medicine and graduated in 2000 and has 25 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Monica Perlman Md Inc and her current practice location is 1000 Vale Terrace Dr, Vista, California. You can reach out to her office (for appointments etc.) via phone at (760) 631-5000.

Jennifer Michelle Black is licensed to practice in California (license number A84075) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194763326.

Contact Information

	Jennifer Michelle Black, MD
	1000 Vale Terrace Dr, Vista, CA 92084-5218
	(760) 631-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Jennifer Michelle Black
Gender	Female
Speciality	Internal Medicine
Experience	25 Years
Location	1000 Vale Terrace Dr, Vista, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jennifer Michelle Black attended and graduated from University Of Wisconsin School Of Medicine in 2000

NPI Data:

NPI Number: 1194763326
Provider Enumeration Date: 06/02/2006
Last Update Date: 09/28/2021

Medicare PECOS Information:

PECOS PAC ID: 6305735739
Enrollment ID: I20071005000813

Medical Identifiers

Medical identifiers for Jennifer Michelle Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194763326	NPI	-	NPPES
34469600	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	43773-020 (Wisconsin)	Secondary
208M00000X	Hospitalist	43773-020 (Wisconsin)	Secondary
207R00000X	Internal Medicine	A84075 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Monica Perlman Md Inc	8820035884	264

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. Jennifer Michelle Black allows following entities to bill medicare on her behalf.

Entity Name	Monica Perlman Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134309305 PECOS PAC ID: 8820035884 Enrollment ID: O20050411001333

Entity Name	Form Health Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043835044 PECOS PAC ID: 0244641272 Enrollment ID: O20201124001275

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. Jennifer Michelle 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
Jennifer Michelle Black, MD 477 N El Camino Real Ste A200, Encinitas, CA 92024-1350 Ph: (858) 766-6007	Jennifer Michelle Black, MD 1000 Vale Terrace Dr, Vista, CA 92084-5218 Ph: (760) 631-5000

Reviews and Comments

Internal Medicine Doctors in Vista, CA

Leila Shabanian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Vale Terrace Dr, Vista, CA 92084 Phone: 760-631-5000 Fax: 760-414-3892
Ted Wayne Gay, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 122 Escondido Avenue, Ste 101, Vista, CA 92084 Phone: 760-806-9263 Fax: 760-806-9264
Oscar A Matthews, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2095 W Vista Way, #107, Vista, CA 92083 Phone: 760-941-4005 Fax: 760-941-4090
Rashad Ansari, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 2023 W Vista Way, Ste. J, Vista, CA 92083 Phone: 760-724-6100
Stuart B Kipper, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 910 Sycamore Ave, Suite 220, Vista, CA 92081 Phone: 760-598-1700 Fax: 760-598-1196
Kristin Bell, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1840 West Dr, Vista, CA 92083 Phone: 858-552-8585 Fax: 760-945-6011
Dr. Franklin Galef, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 2120 Thibodo Rd # 110, Vista, CA 92081 Phone: 760-806-5820 Fax: 760-598-8231

Jennifer Michelle Black, MD - Medicare Internal Medicine in Vista, CA