Austin Harbor Black, FNP-BC in Mantachie, MS - Medicare Nurse Practitioner

Austin Harbor Black, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Mantachie, Mississippi. His current practice location is 5681 Highway 363, Mantachie, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 282-4226.

Austin Harbor Black is licensed to practice in Mississippi (license number 906272) 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 1245017052.

Contact Information

	Austin Harbor Black, FNP-BC
	5681 Highway 363, Mantachie, MS 38855-7632
	(662) 282-4226
	Not Available

Map and Direction

Provider's Profile

Full Name	Austin Harbor Black
Gender	Male
Speciality	Nurse Practitioner - Family
Location	5681 Highway 363, Mantachie, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245017052
Provider Enumeration Date: 09/13/2023
Last Update Date: 09/13/2023

Medicare PECOS Information:

PECOS PAC ID: 0941740070
Enrollment ID: I20241104000058

Medical Identifiers

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

Identifier	Type	State	Issuer
1245017052	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	906272 (Mississippi)	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. Austin Harbor Black allows following entities to bill medicare on his behalf.

Entity Name	Mantachie Rural Health Care, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033169545 PECOS PAC ID: 2567372121 Enrollment ID: O20040921000610

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. Austin Harbor 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
Austin Harbor Black, FNP-BC Po Box 40, Mantachie, MS 38855-0040 Ph: (662) 282-4226	Austin Harbor Black, FNP-BC 5681 Highway 363, Mantachie, MS 38855-7632 Ph: (662) 282-4226

Reviews and Comments

Nurse Practitioner Nurses in Mantachie, MS

Ms. Bonnie Renee' Jones, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 285 Ivie Ln, Mantachie, MS 38855 Phone: 662-282-4197 Fax: 662-282-5121
Madison Leigh Carrell, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5681 Ms-363, Mantachie, MS 38855 Phone: 662-282-4226
Susan Long Newell, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3275 Highway 371 N, Mantachie, MS 38855 Phone: 662-282-7555
Nativel J Collins, CFNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3275 Highway 371 N, Mantachie, MS 38855 Phone: 662-282-7555 Fax: 877-254-0552
Crystal Jo Nichols, C.F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 285 Ivie Ln, Mantachie, MS 38855 Phone: 662-282-4197 Fax: 662-282-5121
Amy Lynn Floyd, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5681 Highway 363, Mantachie, MS 38855 Phone: 662-282-4226 Fax: 662-282-7946

Austin Harbor Black, FNP-BC - Medicare Nurse Practitioner in Mantachie, MS