Daniel T Black, DO is a medicare enrolled "Family Medicine" physician in Sale Creek, Tennessee. He went to West Virginia School Of Osteopathic Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. His current practice location is
108 Griffith St, Sale Creek, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 332-1813.
Daniel T Black is licensed to practice in Tennessee (license number DO1671) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194726604.
Physician's Profile
| Full Name | Daniel T Black |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 22 Years |
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| Location | 108 Griffith St, Sale Creek, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Daniel T Black attended and graduated from West Virginia School Of Osteopathic Medicine in 2002
NPI Data:
- NPI Number: 1194726604
- Provider Enumeration Date: 08/09/2005
- Last Update Date: 09/12/2007
Medicare PECOS Information:
- PECOS PAC ID: 4183675556
- Enrollment ID: I20050718000038
Medical Identifiers
Medical identifiers for Daniel T Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194726604 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | DO1671 (Tennessee) | Primary |
Medical Facilities Affiliation
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. Daniel T Black allows following entities to bill medicare on his behalf.
| Entity Name | Sale Creek Family Practice, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225352164
PECOS PAC ID: 3274663737
Enrollment ID: O20100609000572 |
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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. Daniel T 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 Address | Practice Location Address |
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Daniel T Black, DO
Po Box 667, 108 Griffith St,
Sale Creek, TN 37373-0667
Ph: (423) 332-1813 | Daniel T Black, DO
108 Griffith St,
Sale Creek, TN 37373-9715
Ph: (423) 332-1813 |
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