Shira Black, in Davenport, IA - Medicare Anesthesiology

Shira Black, is a medicare enrolled "Anesthesiology" physician in Davenport, Iowa. She went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2010 and has 14 years of diverse experience with area of expertise as Anesthesiology. She is a member of the group practice Anesthesia And Analgesia Pc and her current practice location is 1227 E Rusholme St, Davenport, Iowa. You can reach out to her office (for appointments etc.) via phone at (563) 324-8160.

Shira Black is licensed to practice in Iowa (license number DO-04709) 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 1336467489.

Contact Information

	Shira Black,
	1227 E Rusholme St, Davenport, IA 52803-2459
	(563) 324-8160
	(563) 324-8486

Map and Direction

Physician's Profile

Full Name	Shira Black
Gender	Female
Speciality	Anesthesiology
Experience	14 Years
Location	1227 E Rusholme St, Davenport, Iowa
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:

Shira Black attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2010

NPI Data:

NPI Number: 1336467489
Provider Enumeration Date: 05/13/2010
Last Update Date: 04/28/2021

Medicare PECOS Information:

PECOS PAC ID: 1850611104
Enrollment ID: I20150528000176

Medical Identifiers

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

Identifier	Type	State	Issuer
1336467489	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207LC0200X	Anesthesiology - Critical Care Medicine	DO-04709 (Iowa)	Secondary
207L00000X	Anesthesiology	DO-04709 (Iowa)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Genesis Medical Center-davenport	Davenport, IA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesia And Analgesia Pc	7810887627	20

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. Shira Black allows following entities to bill medicare on her behalf.

Entity Name	Medical Associates Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457300790 PECOS PAC ID: 3870491228 Enrollment ID: O20031223000311

Entity Name	Anesthesia & Analgesia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558306381 PECOS PAC ID: 7810887627 Enrollment ID: O20040316001395

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. Shira 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
Shira Black, Po Box 1245, Bettendorf, IA 52722-0021 Ph: (563) 324-8160	Shira Black, 1227 E Rusholme St, Davenport, IA 52803-2459 Ph: (563) 324-8160

Reviews and Comments

Anesthesiology Doctors in Davenport, IA

Johanna Laidig, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000
Mr. Ilya B Volfson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000 Fax: 563-421-7889
Mr. Richard Lowell Carruthers, DO Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000 Fax: 563-421-7889
Eun Hea Kim, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000
Dr. Stephen Thomas Delessio, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1227 East Rusholme Street, Davenport, IA 52803 Phone: 563-421-1000 Fax: 563-421-7889
Mr. Johnny Edward Brian Jr., MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000 Fax: 563-421-7889
Sara Fay Reader, DO, MS Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000

Shira Black, - Medicare Anesthesiology in Davenport, IA