Michael Jason Black, MD - Medicare General Surgery in Appleton, WI

Michael Jason Black, MD is a medicare enrolled "Surgery" physician in Appleton, Wisconsin. He went to Medical College Of Wisconsin and graduated in 2002 and has 22 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Fox Valley Surgical Associates Ltd and his current practice location is 1818 N Meade St, Suite 240 West, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 731-8131.

Michael Jason Black is licensed to practice in Wisconsin (license number 46688-020) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720036387.

Contact Information

Michael Jason Black, MD
1818 N Meade St, Suite 240 West,
Appleton, WI 54911-3496
(920) 731-8131
(920) 832-0444

Map and Direction




Physician's Profile

Full NameMichael Jason Black
GenderMale
SpecialityGeneral Surgery
Experience22 Years
Location1818 N Meade St, Appleton, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael Jason Black attended and graduated from Medical College Of Wisconsin in 2002
  NPI Data:
  • NPI Number: 1720036387
  • Provider Enumeration Date: 05/05/2006
  • Last Update Date: 10/27/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 9931293958
  • Enrollment ID: I20081010000327

Medical Identifiers

Medical identifiers for Michael Jason Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720036387NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 46688 (Wisconsin)Secondary
208600000XSurgery 46688-020 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thedacare Regional Medical Center - Appleton IncAppleton, WIHospital
Thedacare Regional Med Ctr - NeenahNeenah, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fox Valley Surgical Associates Ltd791197129628

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. Michael Jason Black allows following entities to bill medicare on his behalf.
Entity NameFox Valley Surgical Associates Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376594952
PECOS PAC ID: 7911971296
Enrollment ID: O20040823000907

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. Michael Jason 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 AddressPractice Location Address
Michael Jason Black, MD
1818 N Meade St, Suite 240 West,
Appleton, WI 54911-3496

Ph: (920) 731-8131
Michael Jason Black, MD
1818 N Meade St, Suite 240 West,
Appleton, WI 54911-3496

Ph: (920) 731-8131

Reviews and Comments


Surgery Doctors in Appleton, WI

Philip Anthony Vogt, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1818 N Meade St, Ste 240- West, Appleton, WI 54911
Phone: 920-731-8289    Fax: 920-832-0444
Dr. Maykong Leepalao, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1501 S Madison St, Appleton, WI 54915
Phone: 920-730-4435    
Dr. Alexander Spencer Tretinyak, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St, Suite 240 West, Appleton, WI 54911
Phone: 920-731-8131    Fax: 920-832-0444
Beth R Krieger, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St, Suite 240 West, Appleton, WI 54911
Phone: 920-731-8289    Fax: 920-832-0444
Janeil Mitchell, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St # 240w, Appleton, WI 54911
Phone: 920-731-8131    
Ping D Lady, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1501 S Madison St, Appleton, WI 54915
Phone: 920-730-4435    
Tina M. Sauerhammer, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2700 E Enterprise Ave Ste A, Appleton, WI 54913
Phone: 920-965-1234    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.