Megan Louise Black, PA
Individual provider Active NPI Physician Assistant · Blanding, UT
NPI 1194290767 · NPPES record last updated Oct 3, 2019
Key facts
- NPI
- 1194290767
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 11452109-1206 (UT)
- Practice address
- 466 W 800 S
Blanding, UT 84511-3901 - Phone
- (435) 459-9682
- NPI assigned
- Oct 9, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of Utah School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Utah Navajo Health System Incorporated
Practice addresses (Care Compare)
2 Rainbow Rd
Navajo Mountain, UT 84511-3910
Phone (928) 672-2498
30 W Medical Dr
Monument Valley, UT 84536-0005
Phone (435) 727-3000
802 S 200
Blanding, UT 84511-3910
Phone (435) 678-3601
East Hwy 262
Montezuma Creek, UT 84534-0130
Phone (435) 651-3700
PO Box
Suite 130
Montezuma Creek, UT 84534-0130
Hospital & facility affiliations
- Blue Mountain Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191107001722 | UT | Practitioner - Physician Assistant | 6002248358 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utah Navajo Health System, Incorporated | Current |
Accepting new patients | |
| Utah Navajo Health System, Incorporated | Past | Accepting new patients | |
| Utah Navajo Health System, Incorporated | Past | Accepting new patients | |
| Utah Navajo Health System, Incorporated | Past | Accepting new patients |
Locations
910 S 300 W
Blanding, UT 84511
Phone (435) 678-0700
Interoperability endpoints
- megan.black.1@16098.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 11452109-1206 | UT | Yes |
Addresses
Primary practice location
466 W 800 S
Blanding, UT 84511-3901
Mailing address
466 W 800 S
Blanding, UT 84511-3901
Phone (435) 459-9682
Other names
- Megan Louise Macdonald
Other providers in Blanding, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.