Molly Diane Black, MD in Peoria, IL - Medicare Orthopedic Surgery

Molly Diane Black, MD is a medicare enrolled "Orthopaedic Surgery" physician in Peoria, Illinois. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Orthopedic Surgery. She is a member of the group practice Orthopedic Surgeons Pa, Orthopedic Surgeons Pa, Select Physical Therapy Holdings Inc and her current practice location is 6000 N Allen Rd, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 691-1400.

Molly Diane Black is licensed to practice in Illinois (license number 036-123359) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1932214251.

Contact Information

	Molly Diane Black, MD
	6000 N Allen Rd, Peoria, IL 61614-3294
	(309) 691-1400
	Not Available

Map and Direction

Physician's Profile

Full Name	Molly Diane Black
Gender	Female
Speciality	Orthopedic Surgery
Experience	23 Years
Location	6000 N Allen Rd, Peoria, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Molly Diane Black graduated from medical school in 2001

NPI Data:

NPI Number: 1932214251
Provider Enumeration Date: 08/19/2006
Last Update Date: 01/21/2022

Medicare PECOS Information:

PECOS PAC ID: 9537166343
Enrollment ID: I20100921000614

Medical Identifiers

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

Identifier	Type	State	Issuer
1932214251	NPI	-	NPPES
036123359	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	036-123359 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Research Medical Center	Kansas city, MO	Hospital
Overland Park Reg Med Ctr	Overland park, KS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Orthopedic Surgeons Pa	8527034123	29
Orthopedic Surgeons Pa	8527034123	29
Select Physical Therapy Holdings Inc	9537076401	1487

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. Molly Diane Black allows following entities to bill medicare on her behalf.

Entity Name	Orthopedic Surgeons Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841264835 PECOS PAC ID: 8527034123 Enrollment ID: O20210503000420

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. Molly Diane 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
Molly Diane Black, MD 6000 N Allen Rd, Peoria, IL 61614-3294 Ph: (309) 691-1400	Molly Diane Black, MD 6000 N Allen Rd, Peoria, IL 61614-3294 Ph: (309) 691-1400

Reviews and Comments

Orthopaedic Surgery Doctors in Peoria, IL

Dr. Keith Thomas Corpus, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 303 N William Kumpf Blvd, Peoria, IL 61605 Phone: 309-676-5546
Dr. James R Williams, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6000 N Allen Road, Peoria, IL 61614 Phone: 309-691-1400
Dr. Michael S Merkley, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 6000 N Allen Rd, Peoria, IL 61614 Phone: 309-691-1400
Jerome P Kraft, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 5401 N Knoxville Ave, Suite 400, Peoria, IL 61614 Phone: 309-692-6644
Dr. Brian Ted Maurer, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 303 N William Kumpf Blvd, Peoria, IL 61605 Phone: 309-676-5546 Fax: 309-676-5045
Dr. Robert Arthur Kinzinger, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 303 N William Kumpf Blvd, Peoria, IL 61605 Phone: 309-676-5546
Dr. Mark R Phillips, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 303 N William Kumpf Blvd, Peoria, IL 61605 Phone: 309-676-5546 Fax: 309-676-5045

Molly Diane Black, MD - Medicare Orthopedic Surgery in Peoria, IL