| Brian Houston Black, DO | |
|
1033 Indianapolis Rd Ste 110, Greencastle, IN 46135-2407 | |
| (765) 653-8453 | |
| (765) 653-8493 |
| Full Name | Brian Houston Black |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 22 Years |
| Location | 1033 Indianapolis Rd Ste 110, Greencastle, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437255239 | NPI | - | NPPES |
| 200521550 | Medicaid | IN | |
| P00332798 | Other | IN | RAILROAD MEDICARE |
| 1437255239 | Other | IN | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 02002904A (Indiana) | Primary |
| 207P00000X | Emergency Medicine | 02002904A (Indiana) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Great Lakes Caring | Kokomo, IN | Hospice |
| Great Lakes Caring | Plainfield, IN | Hospice |
| Hendricks Regional Health | Danville, IN | Hospital |
| Putnam County Hospital | Greencastle, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hendricks County Hospital | 4880505528 | 307 |
| Entity Name | Putnam County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578608188 PECOS PAC ID: 1951396605 Enrollment ID: O20040420000945 |
| Entity Name | Greene County General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184695389 PECOS PAC ID: 2961481544 Enrollment ID: O20040716000806 |
| Entity Name | Hendricks County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497536163 PECOS PAC ID: 4880505528 Enrollment ID: O20040811000309 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Houston Black, DO 1100 Southfield Dr Ste 1370, Plainfield, IN 46168-4300 Ph: (317) 837-5566 | Brian Houston Black, DO 1033 Indianapolis Rd Ste 110, Greencastle, IN 46135-2407 Ph: (765) 653-8453 |
Ceciley Starkey Casselman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1542 S Bloomington St, Greencastle, IN 46135 Phone: 765-301-7679 | |
Jessica A Fidler, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1033 Indianapolis Rd Ste 110, Greencastle, IN 46135 Phone: 765-653-8453 Fax: 765-653-8493 | |
Warren L Macy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 Medic Way, Greencastle, IN 46135 Phone: 765-653-2626 | |
Steve A Kissel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1148 Indianapolis Rd, Greencastle, IN 46135 Phone: 765-653-4003 Fax: 765-653-8930 | |
Brian Edward Downen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 Medic Way, Greencastle, IN 46135 Phone: 765-653-2626 | |
Dr. Marnie Jean Widdifield, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1542 S Bloomington St, Greencastle, IN 46135 Phone: 765-301-7617 Fax: 765-301-7621 |