Mrs Debra Todd Black, DO in Fort Myers, FL

Mrs Debra Todd Black, DO is a medicare enrolled "Family Medicine" physician in Fort Myers, Florida. She went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 1987 and has 37 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Millennium Physician Group Llc and her current practice location is 13440 Parker Commons Blvd, Ste 101, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 432-9383.

Mrs Debra Todd Black is licensed to practice in Florida (license number OS 5735) 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 1659393494.

Contact Information

	Mrs Debra Todd Black, DO
	13440 Parker Commons Blvd, Ste 101, Fort Myers, FL 33912-1816
	(239) 432-9383
	(239) 432-9392

Map and Direction

Physician's Profile

Full Name	Mrs Debra Todd Black
Gender	Female
Speciality	Family Practice
Experience	37 Years
Location	13440 Parker Commons Blvd, Fort Myers, Florida
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:

Mrs Debra Todd Black attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 1987

NPI Data:

NPI Number: 1659393494
Provider Enumeration Date: 07/24/2006
Last Update Date: 02/06/2024

Medicare PECOS Information:

PECOS PAC ID: 1850570144
Enrollment ID: I20110119000675

Medical Identifiers

Medical identifiers for Mrs Debra Todd Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659393494	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	OS 5735 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lee Memorial Hospital	Fort myers, FL	Hospital
Cape Coral Hospital	Cape coral, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Millennium Physician Group Llc	9830244433	781

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. Mrs Debra Todd Black allows following entities to bill medicare on her behalf.

Entity Name	Millennium Physician Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811122880 PECOS PAC ID: 9830244433 Enrollment ID: O20090903000338

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. Mrs Debra Todd 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
Mrs Debra Todd Black, DO 2675 Winkler Ave Fl 2, Fort Myers, FL 33901-9342 Ph: (877) 856-3774	Mrs Debra Todd Black, DO 13440 Parker Commons Blvd, Ste 101, Fort Myers, FL 33912-1816 Ph: (239) 432-9383

Reviews and Comments

Family Medicine Doctors in Fort Myers, FL

Annie Taylor Millis, FNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 15420 Cemetery Rd, Fort Myers, FL 33905 Phone: 843-992-4619
Andrew J Oakes-lottridge, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1315 Florida Ave, Fort Myers, FL 33901 Phone: 239-694-6246 Fax: 239-344-3333
Taras Babiak, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 19701 S Tamiami Trl, Fort Myers, FL 33908 Phone: 239-314-1600 Fax: 239-425-6402
Dr. Frederick J. Burford Ii, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13774 Plantation Rd Ste 100, Fort Myers, FL 33912 Phone: 239-236-7777 Fax: 239-245-7028
Dr. Rafael Paula, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-2052 Fax: 239-343-5348
Cindy Zughbi, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13691 Metro Pkwy Ste 400, Fort Myers, FL 33912 Phone: 239-440-6456 Fax: 239-236-0337
Dr. David John Gomeringer, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13691 Metro Pkwy Ste 240, Fort Myers, FL 33912 Phone: 239-768-5544 Fax: 239-768-9607

Mrs Debra Todd Black, DO - Medicare Family Practice in Fort Myers, FL