Austin J Black, CRNA in Rogers, AR - Medicare Nurse Anesthetist, Certified Registered

Austin J Black, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Rogers, Arkansas. His current practice location is 2710 S Rife Medical Ln, Rogers, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 338-8000.

Austin J Black is licensed to practice in Arkansas (license number 225111) 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 1669171849.

Contact Information

	Austin J Black, CRNA
	2710 S Rife Medical Ln, Rogers, AR 72758-1452
	(479) 338-8000
	(479) 338-3056

Map and Direction

Provider's Profile

Full Name	Austin J Black
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	2710 S Rife Medical Ln, Rogers, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669171849
Provider Enumeration Date: 02/27/2023
Last Update Date: 06/26/2023

Medicare PECOS Information:

PECOS PAC ID: 5698137800
Enrollment ID: I20230818001636

Medical Identifiers

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

Identifier	Type	State	Issuer
1669171849	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	2016021022 (Missouri)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	225111 (Arkansas)	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 J Black allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Services Of Benton County Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013084482 PECOS PAC ID: 2264405844 Enrollment ID: O20040813000287

Entity Name	Renew Medical Group Of Arkansas Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215755947 PECOS PAC ID: 3173056298 Enrollment ID: O20241029000873

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 J 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 J Black, CRNA Po Box 507, Lowell, AR 72745-0507 Ph: (913) 647-4100	Austin J Black, CRNA 2710 S Rife Medical Ln, Rogers, AR 72758-1452 Ph: (479) 338-8000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Rogers, AR

Steven Derek Ceola, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2710 Rife Medical Ln, Rogers, AR 72758 Phone: 913-381-5200 Fax: 913-381-0979
Matthew W Shelby, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2710 Rife Medical Ln, Anesthesia Dept, Rogers, AR 72758 Phone: 913-642-4900 Fax: 913-381-0979
Chad Silvey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2710 S Rife Medical Ln, Rogers, AR 72758 Phone: 479-338-8000 Fax: 479-338-3056
Sean P Mccarthy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 W Walnut St, Rogers, AR 72756 Phone: 479-636-0200 Fax: 479-936-2912
Ms. Allison Elizabeth Lee Mckay, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2710 Rife Medical Ln, Rogers, AR 72758 Phone: 913-642-4900 Fax: 913-381-0979
Monte Clayton Moore, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2710 Rife Medical Ln, Rogers, AR 72758 Phone: 913-381-5200 Fax: 913-381-0979
Matthew David Hicks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 W Walnut St, Rogers, AR 72756 Phone: 479-636-0200 Fax: 479-936-2912

Austin J Black, CRNA - Medicare Nurse Anesthetist, Certified Registered in Rogers, AR