Damon A Black, MD in Rome, GA - Medicare Diagnostic Radiology

Damon A Black, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Rome, Georgia. He went to University Of Texas Southwestern Medical School At Dallas and graduated in 2000 and has 24 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Ctca Physicians Group Of Georgia, Llc. and his current practice location is 901 N Broad St Ne, Suite 220, Rome, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 291-2077.

Damon A Black is licensed to practice in Georgia (license number 056409) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225071616.

Contact Information

	Damon A Black, MD
	901 N Broad St Ne, Suite 220, Rome, GA 30161-5207
	(706) 291-2077
	(706) 235-4177

Map and Direction

Physician's Profile

Full Name	Damon A Black
Gender	Male
Speciality	Diagnostic Radiology
Experience	24 Years
Location	901 N Broad St Ne, Rome, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Damon A Black attended and graduated from University Of Texas Southwestern Medical School At Dallas in 2000

NPI Data:

NPI Number: 1225071616
Provider Enumeration Date: 06/14/2006
Last Update Date: 07/23/2012

Medicare PECOS Information:

PECOS PAC ID: 6002829710
Enrollment ID: I20060725000368

Medical Identifiers

Medical identifiers for Damon A Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225071616	NPI	-	NPPES
649332244A	Medicaid	GA
923350	Other	GA	BCBS OF GEORGIA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085B0100X	Radiology - Body Imaging	056409 (Georgia)	Secondary
2085N0700X	Radiology - Neuroradiology	056409 (Georgia)	Secondary
2085P0229X	Radiology - Pediatric Radiology	056409 (Georgia)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	056409 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southeastern Regional Medical Center	Newnan, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ctca Physicians Group Of Georgia, Llc.	4880841212	119

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. Damon A Black allows following entities to bill medicare on his behalf.

Entity Name	Ctca Physicians Group Of Georgia, Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447520333 PECOS PAC ID: 4880841212 Enrollment ID: O20120820001117

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. Damon A 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
Damon A Black, MD Po Box 369, Rome, GA 30162-0369 Ph: (706) 291-2077	Damon A Black, MD 901 N Broad St Ne, Suite 220, Rome, GA 30161-5207 Ph: (706) 291-2077

Reviews and Comments

Radiology Doctors in Rome, GA

Dr. Steven W Pruett, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1104 Martha Berry Blvd Ne, Rome, GA 30165 Phone: 706-291-2077 Fax: 706-235-4177
Matthew Peter Mumber, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 255 W 5th St Sw, Rome, GA 30165 Phone: 706-234-1400 Fax: 706-232-5018
Dr. Chad Harple, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 901 N Broad St Ne, Rome, GA 30161 Phone: 706-291-2661
Dr. Michael K Kizziah, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 255 W 5th St Sw, Suite 150, Rome, GA 30165 Phone: 706-232-1545 Fax: 706-232-3819
William P Harbin Ii, Radiology Medicare: Medicare Enrolled Practice Location: 901 N Broad St Ne, Suite 220, Rome, GA 30161 Phone: 706-291-2077
J. Daniel Hanks Jr., Radiology Medicare: Not Enrolled in Medicare Practice Location: 1104 Martha Berry Blvd Ne, Rome, GA 30165 Phone: 706-291-2077
John Christopher Abdou, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 255 W 5th St Sw, Rome, GA 30165 Phone: 706-234-1400 Fax: 706-232-5018

Damon A Black, MD - Medicare Diagnostic Radiology in Rome, GA