Serena Star Black, MD - Medicare Pediatrics in Springfield, OR

Serena Star Black, MD is a medicare enrolled "Pediatrics" physician in Springfield, Oregon. Her current practice location is 3377 Riverbend Dr, Springfield, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 222-8500.

Serena Star Black is licensed to practice in Oregon (license number MD154349) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508007675.

Contact Information

Serena Star Black, MD
3377 Riverbend Dr,
Springfield, OR 97477-8803
(541) 222-8500
Not Available



Physician's Profile

Full NameSerena Star Black
GenderFemale
SpecialityPediatrics
Location3377 Riverbend Dr, Springfield, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508007675
  • Provider Enumeration Date: 03/18/2009
  • Last Update Date: 07/13/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 2466620042
  • Enrollment ID: I20110726000687

Medical Identifiers

Medical identifiers for Serena Star Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508007675NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD154349 (Oregon)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. Serena Star Black allows following entities to bill medicare on her behalf.
Entity NamePeacehealth Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447207287
PECOS PAC ID: 9032023270
Enrollment ID: O20031113000097

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Entity NamePeacehealth
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982774378
PECOS PAC ID: 4587573001
Enrollment ID: O20031215000598

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› Verified 9 days ago

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. Serena Star 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
Serena Star Black, MD
Po Box 24410,
Eugene, OR 97402-0451

Ph: () -
Serena Star Black, MD
3377 Riverbend Dr,
Springfield, OR 97477-8803

Ph: (541) 222-8500

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› Verified 9 days ago


Pediatrics Doctors in Springfield, OR

Dr. Daniel Kent Morrow, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3355 Riverbend Dr Ste 220, Springfield, OR 97477
Phone: 503-418-5700    
Virginia Barak, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3377 Riverbend Dr, Springfield, OR 97477
Phone: 541-222-6160    Fax: 541-222-6166
Todd A Huffman, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1442 S A St, Springfield, OR 97477
Phone: 541-726-4100    Fax: 541-725-4900
Dr. Igor Michael Gladstone Ii, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3355 Riverbend Dr Ste 220, Springfield, OR 97477
Phone: 541-686-8790    
Dr. Daniel Erichsen, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3377 Riverbend Dr, Springfield, OR 97477
Phone: 541-222-2402    Fax: 541-222-2350
Dr. Francesca My Hernandez, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1460 G St, Springfield, OR 97477
Phone: 541-726-4400    
Clayton W Young, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2000 N 19th St, Springfield, OR 97477
Phone: 541-476-5437    Fax: 541-746-3753

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