Judy Black, MD in Grants Pass, OR

Judy Black, MD is a medicare enrolled "Pediatrics" physician in Grants Pass, Oregon. Her current practice location is 495 Sw Ramsey Ave, Grants Pass, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 476-6644.

Judy Black is licensed to practice in Oregon (license number MD 170104) 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 1770786667.

Contact Information

	Judy Black, MD
	495 Sw Ramsey Ave, Grants Pass, OR 97527-5681
	(541) 476-6644
	(541) 472-5673

Map and Direction

Physician's Profile

Full Name	Judy Black
Gender	Female
Speciality	Pediatrics
Location	495 Sw Ramsey Ave, Grants Pass, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770786667
Provider Enumeration Date: 06/07/2007
Last Update Date: 03/19/2015

Medicare PECOS Information:

PECOS PAC ID: 7113990888
Enrollment ID: I20150306000256

Medical Identifiers

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

Identifier	Type	State	Issuer
1770786667	NPI	-	NPPES
500680833	Medicaid	OR
036113715	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD 170104 (Oregon)	Primary
202C00000X	Independent Medical Examiner	036113715 (Illinois)	Secondary
208000000X	Pediatrics	036113715 (Illinois)	Secondary

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. Judy Black allows following entities to bill medicare on her behalf.

Entity Name	Grants Pass Clinic Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760418032 PECOS PAC ID: 9234123977 Enrollment ID: O20040414000467

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. Judy 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
Judy Black, MD 495 Sw Ramsey Ave, Grants Pass, OR 97527-5681 Ph: (541) 476-6644	Judy Black, MD 495 Sw Ramsey Ave, Grants Pass, OR 97527-5681 Ph: (541) 476-6644

Reviews and Comments

Pediatrics Doctors in Grants Pass, OR

Katherine Suzanne Johnston, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 Sw Ramsey Ave, #204, Grants Pass, OR 97527 Phone: 541-955-5683 Fax: 541-955-0983
Dr. Kelley Burnett, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 Ramsey Ave, Grants Pass, OR 97527 Phone: 541-955-5683 Fax: 541-955-0983
Dr. William Lee Kohn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 495 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-476-6644 Fax: 541-472-5673
Dr. Steven Marshak, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 Ramsey Ave, Grants Pass, OR 97527 Phone: 541-955-5683 Fax: 541-955-0983
Dr. Barbara Sniffen, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1465 Ne 7th St, Grants Pass, OR 97526 Phone: 541-471-0100 Fax: 541-474-4628
Dr. Neil Alan Phillips, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 495 Ramsey Ave, Grants Pass, OR 97527 Phone: 541-476-6644 Fax: 541-472-5673
Dr. Salma Yahya, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 Sw Ramsey Ave, Suite 204, Grants Pass, OR 97527 Phone: 541-955-5683

Judy Black, MD - Medicare Pediatrics in Grants Pass, OR