Dr Michael Robert Black, DPM - Medicare Podiatrist in Fort Myers, FL

Dr Michael Robert Black, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Fort Myers, Florida. He went to College Of Podiatric Med And Surgery, Des Moines University and graduated in 2007 and has 17 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Orthopedic Center Of Florida, Inc and his current practice location is 12670 Creekside Ln, Fort Myers, Florida. You can reach out to his office (for appointments etc.) via phone at (239) 482-2663.

Dr Michael Robert Black is licensed to practice in Florida (license number PO3431) 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 1851589055.

Contact Information

Dr Michael Robert Black, DPM
12670 Creekside Ln,
Fort Myers, FL 33919-3370
(239) 482-2663
(239) 482-7585

Map and Direction




Healthcare Provider's Profile

Full NameDr Michael Robert Black
GenderMale
SpecialityPodiatry
Experience17 Years
Location12670 Creekside Ln, Fort Myers, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Michael Robert Black attended and graduated from College Of Podiatric Med And Surgery, Des Moines University in 2007
  NPI Data:
  • NPI Number: 1851589055
  • Provider Enumeration Date: 10/12/2007
  • Last Update Date: 05/05/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799819116
  • Enrollment ID: I20100819001023

Medical Identifiers

Medical identifiers for Dr Michael Robert Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851589055NPI-NPPES
DJ551YOtherFLMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery PL00000830 (Washington)Secondary
213ES0103XPodiatrist - Foot & Ankle Surgery PO3431 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cape Coral HospitalCape coral, FLHospital
Lee Memorial HospitalFort myers, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Orthopedic Center Of Florida, Inc993118363943

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 Michael Robert Black allows following entities to bill medicare on his behalf.
Provider NameOrthopedic Center Of Florida, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1912932047
PECOS PAC ID: 9931183639
Enrollment ID: O20040617001372
Provider NameDeiorio Beaulieu & Fuller
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1639184492
PECOS PAC ID: 3870516362
Enrollment ID: O20060111000249

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 Michael Robert 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 AddressPractice Location Address
Dr Michael Robert Black, DPM
12670 Creekside Ln Ste 202,
Fort Myers, FL 33919-3370

Ph: (239) 482-2663
Dr Michael Robert Black, DPM
12670 Creekside Ln,
Fort Myers, FL 33919-3370

Ph: (239) 482-2663

Reviews and Comments


Podiatrist in Fort Myers, FL

Dr. Brent Hewitt Bernstein, D.P.M.
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Practice Location: 13778 Plantation Rd, Fort Myers, FL 33912
Phone: 239-343-0454    Fax: 239-343-1075
Timothy C. Runyon, Dpm, Pa
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Dr. Andrew M Belis, DPM
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Practice Location: 12670 Creekside Lane, Suite 202, Fort Myers, FL 33919
Phone: 239-482-2663    Fax: 239-482-7585
Dr. Steven Eric Holberg, D.P.M.
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Medicare: Not Enrolled in Medicare
Practice Location: 5238 Mason Corbin Ct, Suite 102, Fort Myers, FL 33907
Phone: 239-936-5400    Fax: 239-936-9572
Daniel A Black Dpm Pa
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Practice Location: 8851 Boardroom Cir, Fort Myers, FL 33919
Phone: 239-481-7000    Fax: 239-433-8999
Footworx Active Podiatry
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Practice Location: 4956 Royal Gulf Cir, Fort Myers, FL 33966
Phone: 917-723-0939    
The Podiatry Center
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Practice Location: 13681 Metropolis Ave, Fort Myers, FL 33912
Phone: 239-768-2323    Fax: 239-768-5530

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.