| Michael B Black, MD | |
|
1613 Harrison Pkwy, #200, Sunrise, FL 33323-2853 | |
| (954) 838-2371 | |
| (951) 851-1758 |
| Full Name | Michael B Black |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 31 Years |
| Location | 1613 Harrison Pkwy, Sunrise, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669446167 | NPI | - | NPPES |
| 260780800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | ME81928 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Citrus Memorial Hospital | Inverness, FL | Hospital |
| Lawnwood Regional Medical Center & Heart Institute | Fort pierce, FL | Hospital |
| Wellington Regional Medical Center Llc | Wellington, FL | Hospital |
| Entity Name | Sheridan Healthcorp Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
| Entity Name | Jupiter Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700073848 PECOS PAC ID: 0547348211 Enrollment ID: O20080421000429 |
| Entity Name | Coral Anesthesia Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255701306 PECOS PAC ID: 5193986131 Enrollment ID: O20120418000314 |
| Entity Name | Sunshine State Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael B Black, MD 12598 Pink Myrtle Ct, Boynton Beach, FL 33473-7127 Ph: (954) 288-6500 | Michael B Black, MD 1613 Harrison Pkwy, #200, Sunrise, FL 33323-2853 Ph: (954) 838-2371 |
James M. Cogdill, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Pedro R. Fernandez, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Nicholas M. Vuong, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Skiles (sam) A. Montague, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
W. Vincent Picolo, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2371 | |
Dilsheesh K Purewal, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2120 Nw 107th Ter, Sunrise, FL 33322 Phone: 954-741-0636 Fax: 954-741-0639 | |
Roger L. Duncan, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1613 Harrison Pkwy, #200, Sunrise, FL 33323 Phone: 954-838-2667 |