| Jennifer Olivia Black, MD | |
|
13123 E 16th Ave, Aurora, CO 80045-7106 | |
| (720) 777-1234 | |
| Not Available |
| Full Name | Jennifer Olivia Black |
|---|---|
| Gender | Female |
| Speciality | Pathology - Pediatric Pathology |
| Location | 13123 E 16th Ave, Aurora, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871736579 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0213X | Pathology - Pediatric Pathology | MD44894 (Tennessee) | Secondary |
| 207ZP0213X | Pathology - Pediatric Pathology | DR.0053626 (Colorado) | Primary |
| Entity Name | University Physicians Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962461889 PECOS PAC ID: 3476465667 Enrollment ID: O20031105000375 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Olivia Black, MD Po Box 110429, Aurora, CO 80042-0429 Ph: () - | Jennifer Olivia Black, MD 13123 E 16th Ave, Aurora, CO 80045-7106 Ph: (720) 777-1234 |
Stephanie T Bates, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 12505 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 | |
Linda L Logan, DO Pathology Medicare: Medicare Enrolled Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 | |
Wilbur Franklin, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 | |
Tuan N Le, MD Pathology Medicare: Medicare Enrolled Practice Location: 13123 E 16th Ave, Aurora, CO 80045 Phone: 720-777-1234 | |
Sharon Sams, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-848-0000 | |
Dr. Michael Yang, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 12605 E 16th Ave, Aurora, CO 80045 Phone: 720-777-1234 | |
Dr. Suhua Han, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1700 Wheeling St, Aurora, CO 80045 Phone: 303-399-8020 |