Shirley Hanley Black, ARNP is a medicare enrolled "Nurse Practitioner" in Sedan, Kansas. Her current practice location is
300 W North St, Sedan, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 725-3818.
Shirley Hanley Black is licensed to practice in Kansas (license number 45993) 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 1831231315.
Provider's Profile
| Full Name | Shirley Hanley Black |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 300 W North St, Sedan, Kansas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1831231315
- Provider Enumeration Date: 02/13/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9537394853
- Enrollment ID: I20131022001797
Medical Identifiers
Medical identifiers for Shirley Hanley Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831231315 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 45993 (Kansas) | 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. Shirley Hanley Black allows following entities to bill medicare on her behalf.
| Entity Name | William Newton Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548229149
PECOS PAC ID: 5294648937
Enrollment ID: O20050302000638 |
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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. Shirley Hanley 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 |
|---|
Shirley Hanley Black, ARNP
501 Walnut, P.o. Box 578,
Cedar Vale, KS 67024
Ph: (620) 758-2221 | Shirley Hanley Black, ARNP
300 W North St,
Sedan, KS 67361-1051
Ph: (620) 725-3818 |
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