Dr Andrew P Black, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Ontario, Oregon. He graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Saint Alphonsus Medical Center- Ontario Inc, Saint Alphonsus Medical Center- Ontario Inc and his current practice location is
1050 Sw 3rd Ave Ste 400, Ontario, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 881-1319.
Dr Andrew P Black is licensed to practice in Utah (license number 7429863-0501) 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 1548408669.
Healthcare Provider's Profile
| Full Name | Dr Andrew P Black |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 16 Years |
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| Location | 1050 Sw 3rd Ave Ste 400, Ontario, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Andrew P Black graduated from medical school in 2008
NPI Data:
- NPI Number: 1548408669
- Provider Enumeration Date: 01/27/2009
- Last Update Date: 04/21/2011
Medicare PECOS Information:
- PECOS PAC ID: 4486823275
- Enrollment ID: I20110811000880
Medical Identifiers
Medical identifiers for Dr Andrew P Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548408669 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 7429863-0501 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Saint Alphonsus Medical Center- Ontario Inc | 1456488899 | 22 |
| Saint Alphonsus Medical Center- Ontario Inc | 1456488899 | 22 |
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. Dr Andrew P Black allows following entities to bill medicare on his behalf.
| Provider Name | Saint Alphonsus Medical Center- Ontario Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1093034159
PECOS PAC ID: 1456488899
Enrollment ID: O20100713000593 |
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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. Dr Andrew P 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 |
|---|
Dr Andrew P Black, DPM
1050 Sw 3rd Ave Ste 400,
Ontario, OR 97914-2197
Ph: (541) 881-1319 | Dr Andrew P Black, DPM
1050 Sw 3rd Ave Ste 400,
Ontario, OR 97914-2197
Ph: (541) 881-1319 |
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