Kendra Marie Black, MD in San Diego, CA

Kendra Marie Black, MD is a medicare enrolled "Surgery" physician in San Diego, California. Her current practice location is 200 W Arbor Dr, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (800) 926-8273.

Kendra Marie Black is licensed to practice in California (license number A176120) 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 1225482425.

Contact Information

	Kendra Marie Black, MD
	200 W Arbor Dr, San Diego, CA 92103-9000
	(800) 926-8273
	Not Available

Map and Direction

Physician's Profile

Full Name	Kendra Marie Black
Gender	Female
Speciality	Surgery
Location	200 W Arbor Dr, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225482425
Provider Enumeration Date: 04/14/2016
Last Update Date: 07/17/2023

Medicare PECOS Information:

PECOS PAC ID: 4486941739
Enrollment ID: I20230801002782

Medical Identifiers

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

Identifier	Type	State	Issuer
1225482425	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0102X	Surgery - Surgical Critical Care	A176120 (California)	Secondary
208600000X	Surgery	A176120 (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. Kendra Marie Black allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740382993 PECOS PAC ID: 3577476761 Enrollment ID: O20040430001354

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. Kendra Marie 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
Kendra Marie Black, MD Po Box 232410, San Diego, CA 92193-2410 Ph: (800) 926-8273	Kendra Marie Black, MD 200 W Arbor Dr, San Diego, CA 92103-9000 Ph: (800) 926-8273

Reviews and Comments

Surgery Doctors in San Diego, CA

Dr. Samuel R Obiekwe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 113 W G St # 315, San Diego, CA 92101 Phone: 909-816-1032
Dr. Ahmed Sirageldin Suliman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr # 8890, San Diego, CA 92103 Phone: 619-294-3746
Mathias John Kill, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 34730 Bob Wilson Dr, General Surgery Department, San Diego, CA 92134 Phone: 619-532-7575 Fax: 619-532-7673
Scott E. Greenway, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000
Dr. Kristian L. Brown, M.D., PHD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7910 Frost St, Suite 250, San Diego, CA 92123 Phone: 858-637-4800 Fax: 858-637-4801
Dr. Robert J Manly, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 8010 Frost St, San Diego, CA 92123 Phone: 858-939-8350 Fax: 858-939-8360
Dr. Michael Bouvet, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, Ucsd Medical Center, San Diego, CA 92103 Phone: 858-822-6191 Fax: 858-822-6192

Kendra Marie Black, MD - Medicare Surgery in San Diego, CA