Gabrielle Mire Black, PA is a
Physician Assistant based in Maurice, Louisiana. Gabrielle Mire Black is licensed to practice in Louisiana (license number 348969) and her current practice location is
4402 U S Highway 167, Maurice, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(337) 516-3110.
NPI number for Gabrielle Mire Black is 1881560829 and her current mailing address is 3420 Kirk Rd, Maurice, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1881560829.
Provider's Profile
| Full Name | Gabrielle Mire Black |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 4402 U S Highway 167, Maurice, Louisiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881560829
- Provider Enumeration Date: 10/16/2025
- Last Update Date: 10/16/2025
Medical Identifiers
Medical identifiers for Gabrielle Mire Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1881560829 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 348969 (Louisiana) | Primary |
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. Gabrielle Mire Black is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Gabrielle Mire Black, PA 3420 Kirk Rd, Maurice, LA 70555-3417 Ph: () - | Gabrielle Mire Black, PA 4402 U S Highway 167, Maurice, LA 70555-3708 Ph: (337) 516-3110 |
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