Dr Derek Robert Black, DC - Medicare in Beavercreek, OH

Dr Derek Robert Black, DC is a medicare enrolled "Chiropractor" provider in Beavercreek, Ohio. He went to Los Angeles College Of Chiropractic and graduated in 1994 and has 30 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Advanced Medical And Wellness Center, Inc. and his current practice location is 3060 Dayton Xenia Rd, Suite A, Beavercreek, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 427-2225.

Dr Derek Robert Black is licensed to practice in Ohio (license number 2227) 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 1881781490.

Contact Information

Dr Derek Robert Black, DC
3060 Dayton Xenia Rd, Suite A,
Beavercreek, OH 45434-6308
(937) 427-2225
(937) 431-1722

Map and Direction




Healthcare Provider's Profile

Full NameDr Derek Robert Black
GenderMale
SpecialityChiropractic
Experience30 Years
Location3060 Dayton Xenia Rd, Beavercreek, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Derek Robert Black attended and graduated from Los Angeles College Of Chiropractic in 1994
  NPI Data:
  • NPI Number: 1881781490
  • Provider Enumeration Date: 10/06/2006
  • Last Update Date: 10/24/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2163406216
  • Enrollment ID: I20120404000722

Medical Identifiers

Medical identifiers for Dr Derek Robert Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881781490NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
171100000XAcupuncturist (* (Not Available))Secondary
111N00000XChiropractor 2227 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Advanced Medical And Wellness Center, Inc.05475361876

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. Dr Derek Robert Black allows following entities to bill medicare on his behalf.
Provider NameAdvanced Medical & Wellness Center, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1598281057
PECOS PAC ID: 0547536187
Enrollment ID: O20171025002788

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. Dr Derek Robert 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 AddressPractice Location Address
Dr Derek Robert Black, DC
3060 Dayton Xenia Rd, Suite A,
Beavercreek, OH 45434-6308

Ph: (937) 427-2225
Dr Derek Robert Black, DC
3060 Dayton Xenia Rd, Suite A,
Beavercreek, OH 45434-6308

Ph: (937) 427-2225

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.