Mrs Gladys E Black, APRN in Marion, IN - Medicare Nurse Practitioner

Mrs Gladys E Black, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Marion, Indiana. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Marion General Hospital and her current practice location is 441 N Wabash Ave, Marion, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 660-6411.

Mrs Gladys E Black is licensed to practice in Indiana (license number 71002475A) 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 1205011715.

Contact Information

	Mrs Gladys E Black, APRN
	441 N Wabash Ave, Marion, IN 46952-2612
	(765) 660-6411
	(765) 651-7313

Map and Direction

Physician's Profile

Full Name	Mrs Gladys E Black
Gender	Female
Speciality	Nurse Practitioner
Experience	17 Years
Location	441 N Wabash Ave, Marion, Indiana
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 Gladys E Black graduated from medical school in 2007

NPI Data:

NPI Number: 1205011715
Provider Enumeration Date: 01/02/2008
Last Update Date: 03/27/2018

Medicare PECOS Information:

PECOS PAC ID: 3577649474
Enrollment ID: I20080318000341

Medical Identifiers

Medical identifiers for Mrs Gladys E Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205011715	NPI	-	NPPES
200982170	Medicaid	IN
000000645919	Other	IN	ANTHEM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	71002475Z (Indiana)	Secondary
363L00000X	Nurse Practitioner	71002475A (Indiana)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	71002475A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Marion General Hospital	Marion, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Marion General Hospital	9133023625	98

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 Gladys E Black allows following entities to bill medicare on her behalf.

Entity Name	Marion General Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528099041 PECOS PAC ID: 9133023625 Enrollment ID: O20040524001483

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 Gladys E 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 Gladys E Black, APRN 330 North Wabash, Suite G20, Marion, IN 46952-2600 Ph: (765) 660-7600	Mrs Gladys E Black, APRN 441 N Wabash Ave, Marion, IN 46952-2612 Ph: (765) 660-6411

Mrs Gladys E Black, APRN - Medicare Nurse Practitioner in Marion, IN