Mr Stacy Lee Black, DDS PA - Medicare Dentist in Rusk, TX

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Mr Stacy Lee Black, DDS PA is a medicare enrolled "Dentist - General Practice" provider in Rusk, Texas. His current practice location is 132 Hatchett St., Rusk, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 683-5751.

Mr Stacy Lee Black is licensed to practice in Texas (license number 17132) 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 1063423085.

Contact Information

Mr Stacy Lee Black, DDS PA
132 Hatchett St.,
Rusk, TX 75785
(903) 683-5751
(903) 683-3455

Map and Direction




Healthcare Provider's Profile

Full NameMr Stacy Lee Black
GenderMale
SpecialityDentist - General Practice
Location132 Hatchett St., Rusk, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063423085
  • Provider Enumeration Date: 08/11/2006
  • Last Update Date: 05/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1153623608
  • Enrollment ID: I20151230001523

Medical Identifiers

Medical identifiers for Mr Stacy Lee Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063423085NPI-NPPES
36871OtherTXDENT
009120901MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 17132 (Texas)Primary

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. Mr Stacy Lee 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
Mr Stacy Lee Black, DDS PA
Po Box 316,
Rusk, TX 75785-0316

Ph: (903) 683-5751		Mr Stacy Lee Black, DDS PA
132 Hatchett St.,
Rusk, TX 75785

Ph: (903) 683-5751

Reviews and Comments


Dentist in Rusk, TX

Louis Kavetski, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1601 N Dickinson, Rusk, TX 75785
Phone: 903-683-3421    Fax: 903-683-7199
Dr. Gerald R Ocker, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 971 W 6th St, Rusk, TX 75785
Phone: 903-683-5158    Fax: 903-683-5158
James Blaine Manker, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 805 N Dickinson Drive, Rusk, TX 75785
Phone: 903-683-3421    Fax: 903-683-7199

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.