Bradley C Black, MD in Jeffersonville, IN

Bradley C Black, MD is a medicare enrolled "Ophthalmology" physician in Jeffersonville, Indiana. His current practice location is 302 W 14th St, Ste 100, Jeffersonville, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 284-0660.

Bradley C Black is licensed to practice in Indiana (license number 01027732A) 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 1356347884.

Contact Information

	Bradley C Black, MD
	302 W 14th St, Ste 100, Jeffersonville, IN 47130-3751
	(812) 284-0660
	(812) 284-3822

Map and Direction

Physician's Profile

Full Name	Bradley C Black
Gender	Male
Speciality	Ophthalmology
Location	302 W 14th St, Jeffersonville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356347884
Provider Enumeration Date: 06/21/2005
Last Update Date: 05/12/2008

Medicare PECOS Information:

PECOS PAC ID: 6204880123
Enrollment ID: I20111103000187

Medical Identifiers

Medical identifiers for Bradley C Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356347884	NPI	-	NPPES
351995025	Other		HUMANA
4114033	Other		FIRST HEALTH
000000042712	Other		ANTHEM
1051940	Other	KY	PASSPORT
351995025	Other		SAGAMORE
4114033	Other		AETNA
245535P	Other		SIHO
918528	Other		BLOCK VISION
100116130	Medicaid	IN
690178	Other		FIRST HEALTH
33654	Other		IHN
351995025	Other		UNITED HEALTHCARE
351995025	Other		CIGNA
64755762	Other	KY	UNISYS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	01027732A (Indiana)	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. Bradley C Black allows following entities to bill medicare on his behalf.

Entity Name	Eye Associates Of Southern Indiana Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336219922 PECOS PAC ID: 4183688310 Enrollment ID: O20050303000562

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. Bradley C 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
Bradley C Black, MD 302 W 14th St, Ste 100, Jeffersonville, IN 47130-3751 Ph: (812) 284-0660	Bradley C Black, MD 302 W 14th St, Ste 100, Jeffersonville, IN 47130-3751 Ph: (812) 284-0660

Reviews and Comments

Ophthalmology Doctors in Jeffersonville, IN

Kristopher R. Pugh, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 302 W 14th St Ste 100a, Jeffersonville, IN 47130 Phone: 812-284-0660 Fax: 812-284-3822
Curtis A Jordan, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 302 W 14th St, Ste 100, Jeffersonville, IN 47130 Phone: 812-284-0660 Fax: 812-284-3822
Dr. Steven M Howell, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 302 W 14th St, Suite 100, Jeffersonville, IN 47130 Phone: 812-284-0660 Fax: 812-284-3822
Edwin James Apenbrinck, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 302 W 14th St, Suite 100a, Jeffersonville, IN 47130 Phone: 812-590-6157

Bradley C Black, MD - Medicare Ophthalmology in Jeffersonville, IN