Kristina Black, MD in Lutz, FL - Medicare Pediatrics

Kristina Black, MD is a medicare enrolled "Pediatrics" physician in Lutz, Florida. Her current practice location is 18934 N Dale Mabry Hwy Ste 101, Lutz, Florida. You can reach out to her office (for appointments etc.) via phone at (813) 948-2679.

Kristina Black is licensed to practice in Florida (license number ME168721) 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 1235758889.

Contact Information

	Kristina Black, MD
	18934 N Dale Mabry Hwy Ste 101, Lutz, FL 33548-4914
	(813) 948-2679
	Not Available

Map and Direction

Physician's Profile

Full Name	Kristina Black
Gender	Female
Speciality	Pediatrics
Location	18934 N Dale Mabry Hwy Ste 101, Lutz, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235758889
Provider Enumeration Date: 04/14/2020
Last Update Date: 09/12/2025

Medicare PECOS Information:

PECOS PAC ID: 8820419278
Enrollment ID: I20200610003065

Medical Identifiers

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

Identifier	Type	State	Issuer
1235758889	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	95417 (Georgia)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
208000000X	Pediatrics	ME168721 (Florida)	Primary

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. Kristina 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
Kristina Black, MD 18934 N Dale Mabry Hwy Ste 101, Lutz, FL 33548-4914 Ph: (813) 948-2679	Kristina Black, MD 18934 N Dale Mabry Hwy Ste 101, Lutz, FL 33548-4914 Ph: (813) 948-2679

Reviews and Comments

Pediatrics Doctors in Lutz, FL

Sonia Farooqi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 23026 State Road 54, Lutz, FL 33549 Phone: 813-751-3131
Saumeel Rashmikant Mehta, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18934 N Dale Mabry Hwy Ste 101, Lutz, FL 33548 Phone: 813-948-2679 Fax: 813-948-2694
Dr. Payal Pritesh Patel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18928 N Dale Mabry Hwy, Ste 102, Lutz, FL 33548 Phone: 813-948-2679 Fax: 813-948-2694
Dr. Neil Hans Surti, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 24630 State Road 54, Building 3, Lutz, FL 33559 Phone: 813-948-3903 Fax: 813-948-4157
Dr. Frances Morales, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 24630 State Road 54, Bldg. 3, Lutz, FL 33559 Phone: 813-948-3903 Fax: 813-948-4157
Jamie A Mallah, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4683 Van Dyke Rd, Lutz, FL 33558 Phone: 813-968-7171 Fax: 813-968-7282

Kristina Black, MD - Medicare Pediatrics in Lutz, FL