DR. MARY E BLACK MD - NPI 1417375510 - Family Medicine in Austin, TX

Q: What is Mary Black's NPI number?

The NPI number for Mary Black is 1417375510. It was assigned to this individual provider in the NPPES registry on April 4, 2014.

Q: What is Mary Black's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Black was last updated on October 8, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Mary E Black Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY E BLACK MD (NPI 1417375510) is an individual family medicine provider in Austin, Texas, licensed in Texas (TEMPORARY) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417375510

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MARY E BLACKCredential: MD

Location Address825 E RUNDBERG LN STE B1Austin, TX 78753-4860

Mailing Address825 E Rundberg Ln Ste B1Austin, TX 78753-4860 · (512) 978-9600 · Fax (512) 901-9771

Phone(512) 978-9600

Fax(512) 901-9771

Sole ProprietorNo

Enumeration DateApril 4, 2014

Last NPPES UpdateOctober 8, 20182 updates tracked since enumeration

✔ NPI 1417375510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in TX · TEMPORARY✔ Licensed in FL · 131116

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

825 E RUNDBERG LN STE B1, Austin, TX 78753

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary E Black Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78753 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.