Cherylyn K Black, M.D.
Individual provider Active NPI Family Medicine Physician · Devon, PA
NPI 1689697245 · NPPES record last updated Oct 3, 2023
Key facts
- NPI
- 1689697245
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD469712 (PA)
- Practice address
- 133 Lancaster Ave
Devon, PA 19333 - Phone
- (484) 581-2990
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Center City Personalized Care PC
Practice addresses (Care Compare)
834 Chestnut St
Suite M202
Philadelphia, PA 19107-5182
Phone (215) 940-9925
Hospital & facility affiliations
- Hospital of Univ of Pennsylvania
- Pennsylvania Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040512000870 | MA | Practitioner - Family Practice | 4981694072 | Reassigns benefits to 4 organizations |
| I20231110000012 | PA | Practitioner - Family Practice | 4981694072 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nantucket Cottage Hospital | Current |
Accepting new patients | |
| Patient First Pennsylvania Medical Group PLLC | Family Medicine | Current |
Accepting new patients |
| Patient First Pennsylvania Medical Group PLLC | Family Medicine | Current | Accepting new patients |
| Nantucket Cottage Hospital | Current |
Accepting new patients | |
| Patient First Pennsylvania Medical Group PLLC | Family Medicine | Current |
Accepting new patients |
| Nantucket Physicians Organization | Family Medicine | Current |
Accepting new patients |
| Lahey Clinic, Inc. | Current |
Accepting new patients | |
| Lahey Clinic, Inc | Current |
Accepting new patients | |
| Beth Israel Lahey Health Specialty Care, Inc. | Past | Accepting new patients |
Locations
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400
480 Maple St
Danvers, MA 01923
Phone (978) 304-8380
16 Hayden Ave
Lexington, MA 02421
Phone (781) 372-7060
6 Kimball Ln
Ste 120
Lynnfield, MA 01940
Phone (781) 213-4040
57 Prospect St
Nantucket, MA 02554
Phone (508) 228-1200
15 Railroad Ave
South Hamilton, MA 01982
Phone (978) 468-7381
133 Lancaster Ave
Devon, PA 19333
Phone (484) 581-2900
5125 Jonestown Rd
Ste 105
Harrisburg, PA 17112
Phone (717) 943-1566
713 Bethlehem Pike
Montgomeryvle, PA 18936
Phone (267) 695-3944
5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355
Interoperability endpoints
- black.cherylyn.nch@direct.partners.masshiway.net
- paexchange@patientfirstclinics.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD469712 | PA | Yes |
Addresses
Primary practice location
133 Lancaster Ave
Devon, PA 19333
Mailing address
5000 Cox Rd
Glen Allen, VA 23060-9263
Other practice location 1
6 Kimball Lane
Lahey Lynnfield
Lynnfield, MA 01940-2682
Phone (781) 213-4040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0190519 | Medicaid | MA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | PAExchange@patientfirstclinics.com | Health Information Exchange (HIE) |
Other providers in Devon, PA
- Dana Berstein
- Layla Bey
- Kristin Biggs
- Carissa Binello
- Bioesthetic Dentistry, Inc
- Lauren Bleiler
- Cristina Bonfiglio
- Kellie H Booth
- Christy Bosler
- Colleen Bowman
All providers in Devon, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2023. 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.