Eva Marie Black, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Carrollton, Alabama. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Whatley Health Services Inc and her current practice location is
376 Commerce Ave, Carrollton, Alabama. You can reach out to her office (for appointments etc.) via phone at
(205) 614-6228.
Eva Marie Black is licensed to practice in Alabama (license number 1-168015) 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 1134765886.
Provider's Profile
| Full Name | Eva Marie Black |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 376 Commerce Ave, Carrollton, Alabama |
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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:
- Eva Marie Black graduated from nursing school in 2018
NPI Data:
- NPI Number: 1134765886
- Provider Enumeration Date: 11/18/2019
- Last Update Date: 07/31/2025
Medicare PECOS Information:
- PECOS PAC ID: 8325419013
- Enrollment ID: I20240321000341
Medical Identifiers
Medical identifiers for Eva Marie Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134765886 | NPI | - | NPPES |
| 1-168015 | Other | AL | ALABAMA LICENSE |
| 901756 | Other | MS | MISSISSIPPI LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 901756 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1-168015 (Alabama) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Whatley Health Services Inc | 8224921705 | 29 |
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. Eva Marie Black allows following entities to bill medicare on her behalf.
| Entity Name | Whatley Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063422756
PECOS PAC ID: 8224921705
Enrollment ID: O20040206000846 |
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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. Eva Marie 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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Eva Marie Black, FNP-BC
91 Phoenix Ave,
Carrollton, AL 35447-2351
Ph: (662) 549-4050 | Eva Marie Black, FNP-BC
376 Commerce Ave,
Carrollton, AL 35447-2253
Ph: (205) 614-6228 |
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