Melanie Anne Black, AGNP-C in Bend, OR - Medicare Nurse Practitioner

Melanie Anne Black, AGNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Bend, Oregon. Her current practice location is 2165 Nw Shevlin Park Rd, Bend, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 389-7741.

Melanie Anne Black is licensed to practice in Vermont (license number 101.0134595) 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 1750999470.

Contact Information

	Melanie Anne Black, AGNP-C
	2165 Nw Shevlin Park Rd, Bend, OR 97703-7101
	(541) 389-7741
	Not Available

Map and Direction

Provider's Profile

Full Name	Melanie Anne Black
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	2165 Nw Shevlin Park Rd, Bend, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750999470
Provider Enumeration Date: 07/20/2020
Last Update Date: 05/06/2025

Medicare PECOS Information:

PECOS PAC ID: 3375063035
Enrollment ID: I20250225001419

Medical Identifiers

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

Identifier	Type	State	Issuer
1750999470	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	101.0134595 (Vermont)	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. Melanie Anne Black allows following entities to bill medicare on her behalf.

Entity Name	Praxis Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821068164 PECOS PAC ID: 8325941446 Enrollment ID: O20040128000241

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. Melanie Anne 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
Melanie Anne Black, AGNP-C Po Box 1517, Pendleton, OR 97801-0410 Ph: (877) 708-1119	Melanie Anne Black, AGNP-C 2165 Nw Shevlin Park Rd, Bend, OR 97703-7101 Ph: (541) 389-7741

Reviews and Comments

Nurse Practitioner Nurses in Bend, OR

Mr. Nicholas J Campo Iii, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 233 Sw Wilson Ave Ste 201, Bend, OR 97702 Phone: 541-382-8862 Fax: 541-382-8928
Elaine Michele Brown, RN ARNP PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2100 Ne Neff Rd Ste B, Bend, OR 97701 Phone: 541-647-2132 Fax: 541-728-0109
Jonathan Andrew Mcfadyen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-2811
Molly K Torvik, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1345 Nw Wall St Ste 202, Bend, OR 97703 Phone: 541-204-2021 Fax: 541-325-4011
Jennifer Nicole Herr, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-4900
Samantha Mullis, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321 Fax: 541-706-7068
Ms. Jordan Meier, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1345 Nw Wall St Ste 202, Bend, OR 97703 Phone: 541-204-2021 Fax: 541-325-4011

Melanie Anne Black, AGNP-C - Medicare Nurse Practitioner in Bend, OR