Madelyn Black, MOT, OTR/L in Johnstown, CO - Medicare Occupational Therapist In Private Practice Provider

Madelyn Black, MOT, OTR/L is a medicare enrolled "Occupational Therapist" provider in Johnstown, Colorado. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. She is a member of the group practice Spine And Sports Medicine Of Lincroft, Llc and her current practice location is 4435 Ronald Reagan Blvd, Johnstown, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 699-7303.

Madelyn Black is licensed to practice in Colorado (license number OT.0008952) 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 1356079065.

Contact Information

	Madelyn Black, MOT, OTR/L
	4435 Ronald Reagan Blvd, Johnstown, CO 80534-6566
	(970) 699-7303
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Madelyn Black
Gender	Female
Speciality	Occupational Therapist In Private Practice
Experience	4 Years
Location	4435 Ronald Reagan Blvd, Johnstown, Colorado
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:

Madelyn Black graduated from medical school in 2022

NPI Data:

NPI Number: 1356079065
Provider Enumeration Date: 08/10/2022
Last Update Date: 02/10/2026

Medicare PECOS Information:

PECOS PAC ID: 6507241395
Enrollment ID: I20220914003115

Medical Identifiers

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

Identifier	Type	State	Issuer
1356079065	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT.0008952 (Colorado)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Spine And Sports Medicine Of Lincroft, Llc	4688002264	7

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. Madelyn Black allows following entities to bill medicare on her behalf.

Provider Name	Spine & Sports Medicine Of Barnegat Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003154519 PECOS PAC ID: 8022246222 Enrollment ID: O20140217000186

Provider Name	Spine & Sports Medicine Of Lincroft, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1649832197 PECOS PAC ID: 4688002264 Enrollment ID: O20200313000364

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. Madelyn 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
Madelyn Black, MOT, OTR/L 4435 Ronald Reagan Blvd, Johnstown, CO 80534-6566 Ph: () -	Madelyn Black, MOT, OTR/L 4435 Ronald Reagan Blvd, Johnstown, CO 80534-6566 Ph: (970) 699-7303

Reviews and Comments

Occupational Therapist in Johnstown, CO

Dona Jean Leonard, MS, OTR, CEASII Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4921 Saddlewood Cir, Johnstown, CO 80534 Phone: 970-420-6049 Fax: 970-200-8359
Netanya Huska, MOT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4435 Ronald Reagan Blvd, Johnstown, CO 80534 Phone: 970-699-7303 Fax: 970-266-5639
Carolyn Rose Coates, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4435 Ronald Reagan Blvd, Johnstown, CO 80534 Phone: 650-380-4504
Ambra Taylor, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4355 Yarrow Ln, Johnstown, CO 80534 Phone: 970-663-4247
Bauer Occupational Therapy, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 442 La Costa Ln, Johnstown, CO 80534 Phone: 970-590-6827
Mandie Schake, MOTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 4401 Union St, Johnstown, CO 80534 Phone: 970-619-3400

Madelyn Black, MOT, OTR/L - Medicare Occupational Therapist in Johnstown, CO