Robert M Black, MD in Worcestor, MA - Medicare Internal Medicine

Robert M Black, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Worcestor, Massachusetts. His current practice location is 123 Summer Street, Suite 380 N, Worcestor, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (508) 363-6126.

Robert M Black is licensed to practice in Massachusetts (license number 42763) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1689626913.

Contact Information

	Robert M Black, MD
	123 Summer Street, Suite 380 N, Worcestor, MA 01608
	(508) 363-6126
	(508) 363-9266

Map and Direction

Physician's Profile

Full Name	Robert M Black
Gender	Male
Speciality	Internal Medicine - Nephrology
Location	123 Summer Street, Worcestor, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689626913
Provider Enumeration Date: 05/16/2006
Last Update Date: 06/23/2020

Medicare PECOS Information:

PECOS PAC ID: 3870513856
Enrollment ID: I20051206000333

Medical Identifiers

Medical identifiers for Robert M Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689626913	NPI	-	NPPES
7763607	Other		US HEALTHCARE
042472266	Other		ONE HEALTH PLAN
042472266	Other		PRIVATE HEALTHCARE SYSTEM
26773	Other		HEALTHY START
B18224	Other		BLUE CARE ELECT
042472266	Other		HEALTHCARE VALUE MGMT
2071908	Other		MEDICAID WELFARE
26773	Other		CHILDRENS MED SEC PLAN
7763607	Other		AETNA
9900140	Other		FALLON COMM HEALTH PLAN
202138	Other		CIGNA HEALTH PLAN
2071908	Medicaid	MA
783998	Other		MVP HEALTH CARE
AA2834	Other		HARVARD PILGRAM HLTH CARE
3100051	Other		EVERCARE
B18224	Other		BLUE SHIELD INDEMNITY
B18224	Other		BLUE SHIELD HMO BLUE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	42763 (Massachusetts)	Primary

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. Robert M Black allows following entities to bill medicare on his behalf.

Entity Name	Reliant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720017528 PECOS PAC ID: 5597755322 Enrollment ID: O20040708000650

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. Robert M 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
Robert M Black, MD 123 Summer St, Worcester, MA 01608-1216 Ph: (508) 363-6126	Robert M Black, MD 123 Summer Street, Suite 380 N, Worcestor, MA 01608 Ph: (508) 363-6126

Reviews and Comments

Internal Medicine Doctors in Worcestor, MA

Sunita N Vyas, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 123 Summer Street, Worcestor, MA 01608
Phone: 508-363-5000 Fax: 508-363-5430

Robert M Black, MD - Medicare Internal Medicine in Worcestor, MA