| Michael Black, | |
|
302 Ne 14th St, Leon, IA 50144-1206 | |
| (641) 446-2383 | |
| Not Available |
| Full Name | Michael Black |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 302 Ne 14th St, Leon, Iowa |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598439713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | A164712 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Decatur County Hospital | Leon, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Infinity Health | 5597717496 | 18 |
| Entity Name | Infinity Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770521981 PECOS PAC ID: 5597717496 Enrollment ID: O20051024000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Black, 11921 W State Highway Yy, Eagleville, MO 64442-9193 Ph: (660) 373-2134 | Michael Black, 302 Ne 14th St, Leon, IA 50144-1206 Ph: (641) 446-2383 |
Alva Eugene Yoder, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 302 Ne 14th St, Leon, IA 50144 Phone: 641-446-2383 | |
Mark S Hensley, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 302 Ne 14th St, Leon, IA 50144 Phone: 641-446-2383 Fax: 641-446-2382 | |
Steven Davis Correll, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 302 Ne 14th St, Leon, IA 50144 Phone: 641-446-2383 | |
Mackenzie Kirk, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 302 Ne 14th St, Leon, IA 50144 Phone: 641-446-2383 | |
Dr. Rebecca Devine, DNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 302 Ne 14th St, Leon, IA 50144 Phone: 641-446-2383 Fax: 515-777-1295 | |
Mrs. Elizabeth Marie Brant, ARNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 302 Ne 14th St, Leon, IA 50144 Phone: 641-446-2383 | |
Susanna Funk, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 302 Ne 14th St, Leon, IA 50144 Phone: 641-446-2382 |