Elizabeth Lefft Black (NPI# 1578556833, PAC ID# 1658396361) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1578556833 |
| PAC ID by PECOS | 1658396361 |
| Professional Enrollment ID | I20051012000238 |
| Full Name | Elizabeth Lefft Black |
| Address |
1271 Highland Ave B Clarkston WA 99403-2846 |
| Gender | F |
| Credential | MD |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 1997 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 501332 | TRI-STATE MEMORIAL HOSPITAL |
| 130003 | ST JOSEPH REGIONAL MEDICAL CENTER |
| 131327 | GRITMAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1271 Highland Ave B, Clarkston, WA 99403-2846 | ||
| 415 6th St, Lewiston, ID 83501-2431 | 2087995322 | HNI HOSPITALISTS OF IDAHO LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 55% |
| Street Address |
1271 HIGHLAND AVE B |
| City | CLARKSTON |
| State | WA |
| Zip | 99403-2846 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas G Phillips | Psychiatry | Tri-state Memorial Hospital | 302 5th St, Suite 3, Clarkston, WA 99403-1801 |
| Mark T Eggleston | Ophthalmology | Eye Care Specialists Ps | 500 Port Dr, Clarkston, WA 99403-1835 |
| Chad R Bouterse | Ophthalmology | Eye Care Specialists Ps | 500 Port Dr, Clarkston, WA 99403-1835 |
| Marcia G Holthaus | Clinical Social Worker | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Allen M Ernster | Family Medicine | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Ann M Ridinger | Clinical Social Worker | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Kristine G Kemp | Clinical Social Worker | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Teresa L Abel | Clinical Social Worker | Quality Behavioral Health | 900 7th St, Clarkston, WA 99403-2005 |
| Cheryl L Rudd | Physical Therapy | Twin Rivers Physical Therapy, LLC | 725 6th St, Suite 101, Clarkston, WA 99403-2006 |
| Edward C Harkins | Physical Therapy | Twin Rivers Physical Therapy, LLC | 725 6th St, Suite 101, Clarkston, WA 99403-2006 |
| Find all physicians in zip 99403 | |||
| City | CLARKSTON |
| Zip Code | 99403 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CLARKSTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Elizabeth Lefft Black.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.