Laura Black, NP is a medicare enrolled "Nurse Practitioner" in North Brookfield, Massachusetts. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Brightstar Health And Wellness Services and her current practice location is
163 N Main St, North Brookfield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 637-1604.
Laura Black is licensed to practice in Massachusetts (license number 186294) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1295068161.
Provider's Profile
| Full Name | Laura Black |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 163 N Main St, North Brookfield, Massachusetts |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Laura Black graduated from nursing school in 2024
NPI Data:
- NPI Number: 1295068161
- Provider Enumeration Date: 09/10/2009
- Last Update Date: 12/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 7012134471
- Enrollment ID: I20140807001595
Medical Identifiers
Medical identifiers for Laura Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295068161 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 186294 (Massachusetts) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Brightstar Health And Wellness Services | 6507245461 | 4 |
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. Laura Black allows following entities to bill medicare on her behalf.
| Entity Name | Brightstar Health And Wellness Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588322390
PECOS PAC ID: 6507245461
Enrollment ID: O20220623000707 |
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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. Laura 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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Laura Black, NP
163 N Main St Ste B,
North Brookfield, MA 01535-1400
Ph: (508) 637-1604 | Laura Black, NP
163 N Main St,
North Brookfield, MA 01535-1400
Ph: (508) 637-1604 |
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