Carol Lynn Black, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Coalgate, Oklahoma. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Family Health Center Of Southern Oklahoma Inc and her current practice location is
107 E Post Ave, Coalgate, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 927-2828.
Carol Lynn Black is licensed to practice in Oklahoma (license number R0067047) 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 1013427129.
Provider's Profile
| Full Name | Carol Lynn Black |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 107 E Post Ave, Coalgate, Oklahoma |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carol Lynn Black graduated from nursing school in 2017
NPI Data:
- NPI Number: 1013427129
- Provider Enumeration Date: 10/03/2017
- Last Update Date: 12/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 3971860214
- Enrollment ID: I20171122000573
Medical Identifiers
Medical identifiers for Carol Lynn Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013427129 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 67047 (Oklahoma) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R0067047 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Family Health Center Of Southern Oklahoma Inc | 4284537457 | 27 |
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. Carol Lynn Black allows following entities to bill medicare on her behalf.
| Entity Name | Family Health Center Of Southern Oklahoma Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598803942
PECOS PAC ID: 4284537457
Enrollment ID: O20040127001108 |
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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. Carol Lynn 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 |
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Carol Lynn Black, APRN-CNP
610 E 24th St,
Tishomingo, OK 73460-3245
Ph: (580) 371-2343 | Carol Lynn Black, APRN-CNP
107 E Post Ave,
Coalgate, OK 74538-3004
Ph: (580) 927-2828 |
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