Katelyn Black, - Medicare Physician Assistant in Everett, PA

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Katelyn Black, is a medicare enrolled "Physician Assistant" in Everett, Pennsylvania. Her current practice location is 10455 Lincoln Hwy, Everett, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 623-6161.

Katelyn Black is licensed to practice in Pennsylvania (license number MA057785) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104298306.

Contact Information

Katelyn Black,
10455 Lincoln Hwy,
Everett, PA 15537-7046
(814) 623-6161
Not Available

Map and Direction




Provider's Profile

Full NameKatelyn Black
GenderFemale
SpecialityPhysician Assistant
Location10455 Lincoln Hwy, Everett, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104298306
  • Provider Enumeration Date: 10/27/2015
  • Last Update Date: 03/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9537455852
  • Enrollment ID: I20160912002098

Medical Identifiers

Medical identifiers for Katelyn Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104298306NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant MA057785 (Pennsylvania)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. Katelyn Black allows following entities to bill medicare on her behalf.
Entity NameUPMC Altoona Regional Health Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396724217
PECOS PAC ID: 5395659312
Enrollment ID: O20040312000257
Entity NameUPMC Altoona
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497831655
PECOS PAC ID: 8426962465
Enrollment ID: O20040406001094
Entity NameUPMC Bedford Memorial
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184772113
PECOS PAC ID: 6103811971
Enrollment ID: O20040420000321

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. Katelyn 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 AddressPractice Location Address
Katelyn Black,
101 Carson Heights Dr,
Duncansville, PA 16635-6547

Ph: Not Available		Katelyn Black,
10455 Lincoln Hwy,
Everett, PA 15537-7046

Ph: (814) 623-6161

Reviews and Comments


Physician Assistant Nurses in Everett, PA

Dana Harris,
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Practice Location: 202 Memorial Dr, Suite 1, Everett, PA 15537
Phone: 814-623-6400    
Ryan Richards,
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Practice Location: 202 Memorial Dr, Suite 2, Everett, PA 15537
Phone: 814-623-0552    
Eric W Nelson, PA-C
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Practice Location: 195 Memorial Dr, Suite 1, Everett, PA 15537
Phone: 814-623-3474    
Erin Richards,
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Practice Location: 249 Hospital Dr Ste 1, Suite 1, Everett, PA 15537
Phone: 814-623-1166    
Philip Kucas, PA
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Medicare: Not Enrolled in Medicare
Practice Location: 227 Hospital Drive, Suite 1, Everett, PA 15537
Phone: 814-623-9095    Fax: 814-623-7837
Kimberlee A Hrabic, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 10455 Lincoln Hwy, Everett, PA 15537
Phone: 814-623-6161    
Curvin Gordon,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 10455 Lincoln Hwy, Everett, PA 15537
Phone: 814-623-6161    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.