| Natalie Black, NP | |
|
3434 W State Road 66, Rockport, IN 47635-9259 | |
| (812) 492-5940 | |
| (812) 492-5941 |
| Full Name | Natalie Black |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 3434 W State Road 66, Rockport, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114697000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71011533A (Indiana) | Primary |
| Entity Name | Newburgh Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093132821 PECOS PAC ID: 6800029315 Enrollment ID: O20140508001060 |
| Mailing Address | Practice Location Address |
|---|---|
| Natalie Black, NP Po Box 1510, Evansville, IN 47706-1510 Ph: (812) 450-6815 | Natalie Black, NP 3434 W State Road 66, Rockport, IN 47635-9259 Ph: (812) 492-5940 |
Mr. Justin Lee Grose, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 928 Sycamore St, Rockport, IN 47635 Phone: 812-408-3265 Fax: 812-780-2730 | |
Shelly Christian Gerteisen, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 541a Main St, Rockport, IN 47635 Phone: 812-618-1128 Fax: 812-618-3081 | |
Angela D Bunner, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 541a Main St, Rockport, IN 47635 Phone: 812-618-1128 Fax: 812-618-3081 |