Levi Ryan Black, OD is a medicare enrolled "Optometrist" provider in Ronan, Montana. He went to Pacific University - College Of Optometry and graduated in 2021 and has 4 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Mission Valley Eye Center Inc and his current practice location is
417 Main St Sw, Ronan, Montana. You can reach out to his office (for appointments etc.) via phone at
(406) 676-3937.
Levi Ryan Black is licensed to practice in Montana (license number OPT-OPT-LIC-4214) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831768779.
Healthcare Provider's Profile
| Full Name | Levi Ryan Black |
|---|
| Gender | Male |
|---|
| Speciality | Optometry |
|---|
| Experience | 4 Years |
|---|
| Location | 417 Main St Sw, Ronan, Montana |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Levi Ryan Black attended and graduated from Pacific University - College Of Optometry in 2021
NPI Data:
- NPI Number: 1831768779
- Provider Enumeration Date: 06/24/2021
- Last Update Date: 06/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 3678976743
- Enrollment ID: I20210727002440
Medical Identifiers
Medical identifiers for Levi Ryan Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831768779 | NPI | - | NPPES |
| 1063764173 | Medicaid | MT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OPT-OPT-LIC-4214 (Montana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mission Valley Eye Center Inc | 6800041542 | 2 |
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. Levi Ryan Black allows following entities to bill medicare on his behalf.
| Provider Name | Mission Valley Eye Center Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1063764173
PECOS PAC ID: 6800041542
Enrollment ID: O20130301000098 |
|---|
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. Levi Ryan 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 |
|---|
Levi Ryan Black, OD
417 Main St Sw,
Ronan, MT 59864-2738
Ph: (406) 676-3937 | Levi Ryan Black, OD
417 Main St Sw,
Ronan, MT 59864-2738
Ph: (406) 676-3937 |
Reviews and Comments