Robert Grant Black, PT in Pocatello, ID - Medicare Physical Therapist In Private Practice Provider

Robert Grant Black, PT is a medicare enrolled "Physical Therapist" provider in Pocatello, Idaho. He graduated from medical school in 1996 and has 29 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Lake Area Physical Therapy Inc. and his current practice location is 285 Vista Drive, Suite A, Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 478-1488.

Robert Grant Black is licensed to practice in Utah (license number 3435682401) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1457499428.

Contact Information

	Robert Grant Black, PT
	285 Vista Drive, Suite A, Pocatello, ID 83201
	(208) 478-1488
	(208) 478-1498

Map and Direction

Healthcare Provider's Profile

Full Name	Robert Grant Black
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	29 Years
Location	285 Vista Drive, Pocatello, Idaho
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Robert Grant Black graduated from medical school in 1996

NPI Data:

NPI Number: 1457499428
Provider Enumeration Date: 02/02/2007
Last Update Date: 08/20/2008

Medicare PECOS Information:

PECOS PAC ID: 8022179852
Enrollment ID: I20100729000218

Medical Identifiers

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

Identifier	Type	State	Issuer
1457499428	NPI	-	NPPES
D4888	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	3435682401 (Utah)	Primary
174400000X	Specialist	PT-1705 (Idaho)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lake Area Physical Therapy Inc.	3678604840	252

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. Robert Grant Black allows following entities to bill medicare on his behalf.

Provider Name	Fit Quest Therapy And Rehabilitation Clinic, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558511451 PECOS PAC ID: 8224197819 Enrollment ID: O20081112000070

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. Robert Grant 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
Robert Grant Black, PT 2176 E. Franklin Road, Suite 100, Meridian, ID 83642-9024 Ph: (208) 288-1155	Robert Grant Black, PT 285 Vista Drive, Suite A, Pocatello, ID 83201 Ph: (208) 478-1488

Reviews and Comments

Physical Therapist in Pocatello, ID

Dr. Jared Denor Lundquist, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2450 Skylar Pl, Pocatello, ID 83201 Phone: 435-339-9058
Bart William Mcdonald, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1800 Flandro Dr, 190, Pocatello, ID 83202 Phone: 208-233-2248 Fax: 208-233-0219
Mr. Trent Jackman, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: Garrison Bldg 63, Room 202, Stop 8045, Pocatello, ID 83209 Phone: 208-282-3065
Laura M Sprague, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 285 Vista Dr, Suite A, Pocatello, ID 83201 Phone: 208-478-1488 Fax: 208-478-1498
Mr. Joshua Strait, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1800 Flandro Dr Ste 190, Pocatello, ID 83202 Phone: 208-233-2248 Fax: 208-233-0219
Kaitlin Bailey Livesay Vail, Physical Therapist Medicare: Medicare Enrolled Practice Location: 921 S 8th Ave Stop 8045, Pocatello, ID 83201 Phone: 208-282-4095
Streamline Sports Physical Therapy Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 335 E Lewis St Ste 10, Pocatello, ID 83201 Phone: 208-269-2360 Fax: 208-550-3256

Robert Grant Black, PT - Medicare Physical Therapist in Pocatello, ID