Charles Brad Black, MD in Libby, MT - Medicare Family Medicine

Charles Brad Black, MD is a medicare enrolled "Family Medicine" physician in Libby, Montana. His current practice location is 214 E 3rd St, Libby, Montana. You can reach out to his office (for appointments etc.) via phone at (406) 293-9274.

Charles Brad Black is licensed to practice in Montana (license number 4055) 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 1356407902.

Contact Information

	Charles Brad Black, MD
	214 E 3rd St, Libby, MT 59923-2056
	(406) 293-9274
	(406) 293-9280

Map and Direction

Physician's Profile

Full Name	Charles Brad Black
Gender	Male
Speciality	Family Medicine
Location	214 E 3rd St, Libby, Montana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356407902
Provider Enumeration Date: 12/28/2006
Last Update Date: 11/18/2013

Medicare PECOS Information:

PECOS PAC ID: 5496794232
Enrollment ID: I20050429000981

Medical Identifiers

Medical identifiers for Charles Brad Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356407902	NPI	-	NPPES
92298	Other	MT	BLUE CROSS BLUE SHIELD MT
00056940	Medicaid	MT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4055 (Montana)	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. Charles Brad Black allows following entities to bill medicare on his behalf.

Entity Name	Center For Asbetos Related Disease
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013197912 PECOS PAC ID: 2860431608 Enrollment ID: O20050429000968

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. Charles Brad 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
Charles Brad Black, MD 214 E 3rd St, Libby, MT 59923-2056 Ph: (406) 293-9274	Charles Brad Black, MD 214 E 3rd St, Libby, MT 59923-2056 Ph: (406) 293-9274

Reviews and Comments

Family Medicine Doctors in Libby, MT

Jana M Hall, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 E 2nd St, Libby, MT 59923 Phone: 406-283-6900 Fax: 406-293-6622
Daniel Williams, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 E 2nd St, Libby, MT 59923 Phone: 406-283-6919
Clyde Allen Knecht, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 403 Utah Ave, Libby, MT 59923 Phone: 406-293-8321 Fax: 406-293-8584
Dr. Mark S Heppe, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 214 E 3rd St, Libby, MT 59923 Phone: 406-293-9274 Fax: 406-293-9280
Dr. Jane Pauline Borish, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 350 Louisiana Ave, Libby, MT 59923 Phone: 406-293-0133
Samantha Lynn Pyle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 320 E 2nd St, Libby, MT 59923 Phone: 406-283-6900 Fax: 406-293-6622

Charles Brad Black, MD - Medicare Family Medicine in Libby, MT