Black Peterson, CNIM - Psychiatry & Neurology in West Columbia, SC

Black Peterson, CNIM is a Psychiatry & Neurology - Clinical Neurophysiology physician based in West Columbia, South Carolina. Black Peterson is licensed to practice in South Carolina (license number 4700) and his current practice location is 1304 Sunset Blvd # 203, West Columbia, South Carolina. He can be reached at his office (for appointments etc.) via phone at (888) 851-3677.

NPI number for Black Peterson is 1447833173 and his current mailing address is 1304 Sunset Blvd # 203, West Columbia, South Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447833173.

Contact Information

Black Peterson, CNIM
1304 Sunset Blvd # 203,
West Columbia, SC 29169-5914
(888) 851-3677
Not Available

Map and Direction




Physician's Profile

Full NameBlack Peterson
GenderMale
SpecialityPsychiatry & Neurology - Clinical Neurophysiology
Location1304 Sunset Blvd # 203, West Columbia, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1447833173
  • Provider Enumeration Date: 04/30/2021
  • Last Update Date: 04/30/2021

Medical Identifiers

Medical identifiers for Black Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447833173NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0600XPsychiatry & Neurology - Clinical Neurophysiology 4700 (South Carolina)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. Black Peterson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Black Peterson, CNIM
1304 Sunset Blvd # 203,
West Columbia, SC 29169-5914

Ph: (888) 851-3677
Black Peterson, CNIM
1304 Sunset Blvd # 203,
West Columbia, SC 29169-5914

Ph: (888) 851-3677

Reviews and Comments


Psychiatry & Neurology Doctors in West Columbia, SC

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Donald Schmechel, MD
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Dr. William Harold Bragdon Jr., MD
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Dr. Douglas R Sinclair, D.O.
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Medicare: Accepting Medicare Assignments
Practice Location: 146 E Hospital Dr Ste 120a, West Columbia, SC 29169
Phone: 803-936-7076    Fax: 803-936-7925
April Driggers, CNIM
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 1304 Sunset Blvd # 203, West Columbia, SC 29169
Phone: 888-851-3677    
Dr. Jan Presberg, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 3227 Sunset Blvd Ste D103, West Columbia, SC 29169
Phone: 803-791-1485    Fax: 803-939-9378

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