Brent T Black, DDS in College Station, TX - Medicare Dentist Provider

Brent T Black, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in College Station, Texas. His current practice location is 1505 Emerald Plz, College Station, Texas. You can reach out to his office (for appointments etc.) via phone at (979) 764-7101.

Brent T Black is licensed to practice in Texas (license number 36416) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144849365.

Contact Information

	Brent T Black, DDS
	1505 Emerald Plz, College Station, TX 77845-1501
	(979) 764-7101
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brent T Black
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	1505 Emerald Plz, College Station, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144849365
Provider Enumeration Date: 04/09/2020
Last Update Date: 07/15/2024

Medicare PECOS Information:

PECOS PAC ID: 6103361555
Enrollment ID: I20240710003319

Medical Identifiers

Medical identifiers for Brent T Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144849365	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	36416 (Texas)	Primary

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. Brent T Black allows following entities to bill medicare on his behalf.

Entity Name	Brazos Valley Oms Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194931303 PECOS PAC ID: 3173943651 Enrollment ID: O20201022000800

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. Brent 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
Brent T Black, DDS 1505 Emerald Plz, College Station, TX 77845-1501 Ph: (979) 764-7101	Brent T Black, DDS 1505 Emerald Plz, College Station, TX 77845-1501 Ph: (979) 764-7101

Reviews and Comments

Dentist in College Station, TX

Emmanuel Sackey, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1530 Texas Ave S Ste 300, College Station, TX 77840 Phone: 979-599-5554
Dr. Monica D Brown, DDS Dentist Medicare: Medicare Enrolled Practice Location: 122 Walton Dr, College Station, TX 77840 Phone: 979-696-8594 Fax: 979-764-6677
Dr. Charles Calvin Hanley, D.D.S. Dentist Medicare: Accepting Medicare Assignments Practice Location: 1505 Emerald Plz, College Station, TX 77845 Phone: 979-764-7101 Fax: 979-764-7115
Dr. Jay M Erickson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1275 Arrington Rd Ste 101, College Station, TX 77845 Phone: 979-321-5300
Mustafa Aldabbagh, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1530 Texas Ave S Ste 300, College Station, TX 77840 Phone: 346-247-1277
Dr. Nathan Allen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 11671 Fm 2154 Rd Ste 400, College Station, TX 77845 Phone: 979-399-5101
Dr. Chase Ribordy, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1550 Copperfield Pkwy Ste 2, College Station, TX 77845 Phone: 979-260-2626

Brent T Black, DDS - Medicare Dentist in College Station, TX