Spencer Evan Black, MD - Medicare Psychiatry & Neurology in Lehi, UT

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Spencer Evan Black, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Lehi, Utah. His current practice location is 2250 N Miller Campus Dr, Lehi, Utah. You can reach out to his office (for appointments etc.) via phone at (859) 313-7711.

Spencer Evan Black is licensed to practice in Utah (license number 12759564-8905) 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 1053842914.

Contact Information

Spencer Evan Black, MD
2250 N Miller Campus Dr,
Lehi, UT 84043-7233
(859) 313-7711
(385) 531-1805

Map and Direction




Physician's Profile

Full NameSpencer Evan Black
GenderMale
SpecialityPsychiatry & Neurology - Child & Adolescent Psychiatry
Location2250 N Miller Campus Dr, Lehi, Utah
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053842914
  • Provider Enumeration Date: 03/22/2017
  • Last Update Date: 02/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0840549267
  • Enrollment ID: I20220708002696

Medical Identifiers

Medical identifiers for Spencer Evan Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053842914NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 12759564-1205 (Utah)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 12759564-1205 (Utah)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 12759564-8905 (Utah)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. Spencer Evan Black allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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. Spencer Evan 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 AddressPractice Location Address
Spencer Evan Black, MD
295 S Chipeta Way,
Salt Lake City, UT 84108-1287

Ph: (859) 313-7711		Spencer Evan Black, MD
2250 N Miller Campus Dr,
Lehi, UT 84043-7233

Ph: (859) 313-7711

Reviews and Comments


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Phone: 801-331-9660    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.