Jennifer Nicole Black, DPT in Winterville, NC - Medicare Physical Therapist Provider

Jennifer Nicole Black, DPT is a medicare enrolled "Physical Therapist" provider in Winterville, North Carolina. Her current practice location is 740 W Fire Tower Rd Ste 113, Winterville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 329-8800.

Jennifer Nicole Black is licensed to practice in * (Not Available) (license number ) 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 1689370744.

Contact Information

	Jennifer Nicole Black, DPT
	740 W Fire Tower Rd Ste 113, Winterville, NC 28590-8477
	(252) 329-8800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Nicole Black
Gender	Female
Speciality	Physical Therapist
Location	740 W Fire Tower Rd Ste 113, Winterville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689370744
Provider Enumeration Date: 01/31/2023
Last Update Date: 01/30/2025

Medicare PECOS Information:

PECOS PAC ID: 7113382656
Enrollment ID: I20230505000281

Medical Identifiers

Medical identifiers for Jennifer Nicole Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689370744	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Jennifer Nicole Black allows following entities to bill medicare on her behalf.

Provider Name	Peak Performance Sports And Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1194714063 PECOS PAC ID: 0749276426 Enrollment ID: O20040421000043

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. Jennifer Nicole 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
Jennifer Nicole Black, DPT 625 Kenmoor Ave Se Ste 100, Grand Rapids, MI 49546-2395 Ph: (616) 356-5000	Jennifer Nicole Black, DPT 740 W Fire Tower Rd Ste 113, Winterville, NC 28590-8477 Ph: (252) 329-8800

Reviews and Comments

Physical Therapist in Winterville, NC

Jeremy Evans, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 740 W Fire Tower Rd Ste 113, Winterville, NC 28590 Phone: 252-329-8800
Cameron Kinard, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 740 W Fire Tower Rd Ste 113, Winterville, NC 28590 Phone: 252-329-8800 Fax: 252-329-8866
Dr. Wendy Ballard Carels, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 130 Duke Rd, Winterville, NC 28590 Phone: 419-494-7278
Dr. Anna Tauzer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 740 W Fire Tower Rd, Winterville, NC 28590 Phone: 910-304-5921
Kirstin Tart, PT,ATP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3761 Langston Blvd, Winterville, NC 28590 Phone: 252-830-0894
Greenville Peak Performance Sports & Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 740 W Fire Tower Rd, Suite 113, Winterville, NC 28590 Phone: 252-636-9800 Fax: 252-636-1945

Jennifer Nicole Black, DPT - Medicare Physical Therapist in Winterville, NC