Destin R Black, MD in Shreveport, LA - Medicare Gynecological Oncology

Destin R Black, MD is a medicare enrolled "Obstetrics & Gynecology - Gynecologic Oncology" physician in Shreveport, Louisiana. She went to Louisiana State University School Of Medicine In Shreveport and graduated in 1999 and has 25 years of diverse experience with area of expertise as Gynecological Oncology. She is a member of the group practice Wk Gynecologic Oncology Clinic and her current practice location is 2600 Kings Hwy, Suite 420, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 212-8727.

Destin R Black is licensed to practice in Louisiana (license number 024725) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306062625.

Contact Information

	Destin R Black, MD
	2600 Kings Hwy, Suite 420, Shreveport, LA 71103-3950
	(318) 212-8727
	(318) 212-8771

Map and Direction

Physician's Profile

Full Name	Destin R Black
Gender	Female
Speciality	Gynecological Oncology
Experience	25 Years
Location	2600 Kings Hwy, Shreveport, Louisiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Destin R Black attended and graduated from Louisiana State University School Of Medicine In Shreveport in 1999

NPI Data:

NPI Number: 1306062625
Provider Enumeration Date: 04/17/2007
Last Update Date: 06/18/2021

Medicare PECOS Information:

PECOS PAC ID: 4385745470
Enrollment ID: I20070719000233

Medical Identifiers

Medical identifiers for Destin R Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306062625	NPI	-	NPPES
1577936	Medicaid	LA
4K574F600	Other	LA	MEDICARE - PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207VX0201X	Obstetrics & Gynecology - Gynecologic Oncology	024725 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Willis Knighton Medical Center, Inc	Shreveport, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wk Gynecologic Oncology Clinic	3779683115	4

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. Destin R Black allows following entities to bill medicare on her behalf.

Entity Name	Wk Gynecologic Oncology Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740493923 PECOS PAC ID: 3779683115 Enrollment ID: O20070713000387

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. Destin R 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
Destin R Black, MD 2600 Kings Hwy, Suite 420, Shreveport, LA 71103-3950 Ph: (318) 212-8727	Destin R Black, MD 2600 Kings Hwy, Suite 420, Shreveport, LA 71103-3950 Ph: (318) 212-8727

Reviews and Comments

Obstetrics & Gynecology Doctors in Shreveport, LA

Sabrina Benefield Castle, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2510 W. Bert Kouns Industrial Loop, Shreveport, LA 71118 Phone: 318-212-5000 Fax: 903-553-7751
Rodney Wise, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1501 Kings Hwy, Dept Of Ob/gyn, Shreveport, LA 71103 Phone: 318-675-8700 Fax: 318-675-8706
James Barrow, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Department Of Ob Gyn, Shreveport, LA 71103 Phone: 318-675-5000
Melissa Fett Jordan, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3100 Fairfield Ave, Unit 10a, Shreveport, LA 71104 Phone: 318-201-3939
Amanda Deadmond, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9391 Ellerbe Rd Ste C, Shreveport, LA 71106 Phone: 318-408-0100 Fax: 601-202-4685
Russell D Burlison, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Kouns Loop, Shreveport, LA 71105 Phone: 318-798-4400 Fax: 318-798-4621
Dr. Ricky Allen Paul, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 8001 Youree Dr Ste 600, Shreveport, LA 71115 Phone: 318-212-3890 Fax: 318-212-3888

Destin R Black, MD - Medicare Gynecological Oncology in Shreveport, LA