Sousan Yazdi Black, APRN in Gainesville, FL - Medicare Nurse Practitioner

Sousan Yazdi Black, APRN is a medicare enrolled "Nurse Practitioner - Family" in Gainesville, Florida. She graduated from nursing school in 2014 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Florida Cancer Specialists And Research Institute, Llc and her current practice location is 6420 W Newberry Rd Ste 100, Gainesville, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 332-3900.

Sousan Yazdi Black is licensed to practice in Florida (license number APRN9293083) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144632217.

Contact Information

	Sousan Yazdi Black, APRN
	6420 W Newberry Rd Ste 100, Gainesville, FL 32605-6622
	(352) 332-3900
	(352) 332-5009

Map and Direction

Provider's Profile

Full Name	Sousan Yazdi Black
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	6420 W Newberry Rd Ste 100, Gainesville, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sousan Yazdi Black graduated from nursing school in 2014

NPI Data:

NPI Number: 1144632217
Provider Enumeration Date: 05/23/2014
Last Update Date: 06/29/2026

Medicare PECOS Information:

PECOS PAC ID: 7517186588
Enrollment ID: I20140924001643

Medical Identifiers

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

Identifier	Type	State	Issuer
1144632217	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN9293083 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Florida Cancer Specialists And Research Institute, Llc	2567356058	463

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. Sousan Yazdi Black allows following entities to bill medicare on her behalf.

Entity Name	Florida Cancer Specialists & Research Institute, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760590962 PECOS PAC ID: 2567356058 Enrollment ID: O20040216000091

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. Sousan Yazdi 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
Sousan Yazdi Black, APRN Po Box 102222, Atlanta, GA 30368-2222 Ph: (239) 274-8200	Sousan Yazdi Black, APRN 6420 W Newberry Rd Ste 100, Gainesville, FL 32605-6622 Ph: (352) 332-3900

Reviews and Comments

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Sousan Yazdi Black, APRN - Medicare Nurse Practitioner in Gainesville, FL