Mariah Black, RN, BSN, MSN, FNP-C in Southborough, MA

Mariah Black, RN, BSN, MSN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Southborough, Massachusetts. Her current practice location is 24 Newton St, Southborough, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (443) 945-3295.

Mariah Black is licensed to practice in Massachusetts (license number RN2348576) 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 1902619273.

Contact Information

	Mariah Black, RN, BSN, MSN, FNP-C
	24 Newton St, Southborough, MA 01772-1215
	(443) 945-3295
	Not Available

Map and Direction

Provider's Profile

Full Name	Mariah Black
Gender	Female
Speciality	Nurse Practitioner - Family
Location	24 Newton St, Southborough, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902619273
Provider Enumeration Date: 01/29/2025
Last Update Date: 06/03/2025

Medicare PECOS Information:

PECOS PAC ID: 0840713178
Enrollment ID: I20250327002368

Medical Identifiers

Medical identifiers for Mariah Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902619273	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN2348576 (Massachusetts)	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. Mariah Black allows following entities to bill medicare on her behalf.

Entity Name	Reliant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720017528 PECOS PAC ID: 5597755322 Enrollment ID: O20040708000650

Entity Name	Monogram Health Professional Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134739089 PECOS PAC ID: 4880004183 Enrollment ID: O20220324001442

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. Mariah 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
Mariah Black, RN, BSN, MSN, FNP-C 5 Neponset St, Worcester, MA 01606-2714 Ph: (508) 460-3250	Mariah Black, RN, BSN, MSN, FNP-C 24 Newton St, Southborough, MA 01772-1215 Ph: (443) 945-3295

Reviews and Comments

Nurse Practitioner Nurses in Southborough, MA

Grace C Winship, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24 Newton St, Southborough, MA 01772 Phone: 508-460-3250 Fax: 508-453-8152
Reham Mousa, NP, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24 Newton St, Southborough, MA 01772 Phone: 508-460-3250 Fax: 508-453-8152
Brooke K Eliopoulos, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24 Newton St, Southborough, MA 01772 Phone: 508-460-3250 Fax: 508-453-8152
Mrs. Anna Rose Sullivan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18 Maplecrest Dr, Southborough, MA 01772 Phone: 508-481-3845
Sheryl Kelleher, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 162 Cordaville Rd Ste 185, Southborough, MA 01772 Phone: 508-281-9471 Fax: 508-281-9130
Joy Anne Safo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24 Newton St, Southborough, MA 01772 Phone: 508-460-3190 Fax: 508-460-3279
Elizabeth Martha Nation, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24 Newton St, Southborough, MA 01772 Phone: 508-460-3050 Fax: 508-460-3226

Mariah Black, RN, BSN, MSN, FNP-C - Medicare Nurse Practitioner in Southborough, MA