Matthew Elisha Black, in Lebanon, TN - Medicare Physical Therapist Provider

Matthew Elisha Black, is a medicare enrolled "Physical Therapist - Orthopedic" provider in Lebanon, Tennessee. His current practice location is 260 Manchester Blvd, Lebanon, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 224-9862.

Matthew Elisha Black is licensed to practice in Tennessee (license number 14970) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578257036.

Contact Information

	Matthew Elisha Black,
	260 Manchester Blvd, Lebanon, TN 37090-6508
	(931) 224-9862
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Elisha Black
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	260 Manchester Blvd, Lebanon, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578257036
Provider Enumeration Date: 06/07/2023
Last Update Date: 01/13/2024

Medicare PECOS Information:

PECOS PAC ID: 0446619431
Enrollment ID: I20230710000641

Medical Identifiers

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

Identifier	Type	State	Issuer
1578257036	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	14970 (Tennessee)	Secondary
2251X0800X	Physical Therapist - Orthopedic	14970 (Tennessee)	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. Matthew Elisha Black allows following entities to bill medicare on his behalf.

Provider Name	Advanced Diagnostic Imaging Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1093741464 PECOS PAC ID: 7315848140 Enrollment ID: O20040115000677

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. Matthew Elisha 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
Matthew Elisha Black, 260 Manchester Blvd, Lebanon, TN 37090-6508 Ph: () -	Matthew Elisha Black, 260 Manchester Blvd, Lebanon, TN 37090-6508 Ph: (931) 224-9862

Reviews and Comments

Physical Therapist in Lebanon, TN

Courtney A Steele, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1420 W Baddour Pkwy, Ste 120, Lebanon, TN 37087 Phone: 615-443-9036 Fax: 615-443-9037
Jonathon Casey Mcgee, D.P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 521 W Main St, Lebanon, TN 37087 Phone: 615-444-9400 Fax: 615-444-9406
Mrs. Sandra Denise Steele, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1430 W Baddour Pkwy Ste C, Lebanon, TN 37087 Phone: 615-453-1422
Amanda Kelley Lankford, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1420 W Baddour Pkwy Ste 120, Lebanon, TN 37087 Phone: 615-443-9036 Fax: 615-443-9037
Chase Bruce, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1035 S Hartmann Dr, Lebanon, TN 37090 Phone: 615-323-3310 Fax: 615-443-5488
Dr. Mario Novo, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1035 S Hartmann Dr, Lebanon, TN 37090 Phone: 615-321-0200 Fax: 615-443-5488
Caleb Wharton, Physical Therapist Medicare: Medicare Enrolled Practice Location: 920 S Hartmann Dr Ste 330, Lebanon, TN 37090 Phone: 615-547-6488

Matthew Elisha Black, - Medicare Physical Therapist in Lebanon, TN