MARISSA BLACK M.D. – NPI #1114269735
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Health Care Provider Taxonomy Code for Internal Medicine

MARISSA BLACK is a physician located in KIRKLAND, WA. NPPES has assigned the NPI number 1114269735 to MARISSA BLACK on March 21, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was previously updated about 7 years ago on Jul 17, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARISSA BLACK below.

NPI Profile for
MARISSA BLACK

NPI Number
1114269735
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARISSA BLACK
Credentials
M.D.
Primary location
11521 NE 128TH ST STE 100
KIRKLAND, WA 98034
Phone: (425) 899-6800 Fax: (425) 899-6818
3 Other location(s):
11521 NE 128th St Ste 100
Kirkland, WA 98034
Phone: (425) 899-6800
Fax: (425) 899-6818
1660 S Columbian Way
Seattle, WA 98108-1532
Phone: (206) 762-1010
325 9th Ave
Box 359755, Rm. 5048 PSB
Seattle, WA 98104-2420
Phone: (206) 744-9102
Fax: (206) 744-9976
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)		 WA MD60371542

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
TULANE UNIVERSITY SCHOOL OF MEDICINE - Graduated 2013
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MARISSA BLACK is affiliated with the following medical group(s):
  • HOSPITAL
    • EVERGREENHEALTH MEDICAL CENTER
      12040 NE 128TH STREET
      KIRKLAND, WA 98034
  • HOME HEALTH AGENCY
    • EVERGREENHEALTH HOME CARE
      11800 NE 128TH ST #200
      KIRKLAND, WA 98034
  • NURSING HOME
    • CORWIN CENTER AT EMERALD HEIGHTS
      10901 - 176TH CIRCLE NORTHEAST
      REDMOND, WA 98052

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