| Dr Benjamin Thomas Black, MD | |
|
701 Veterans United Dr, Columbia, MO 65201-4236 | |
| (573) 884-6052 | |
| (573) 884-1151 |
| Full Name | Dr Benjamin Thomas Black |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
| Location | 701 Veterans United Dr, Columbia, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427286897 | NPI | - | NPPES |
| Entity Name | The Childrens Mercy Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851437719 PECOS PAC ID: 2466366026 Enrollment ID: O20031118000182 |
| Entity Name | The Curators of the University of Missouri |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Thomas Black, MD Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300 | Dr Benjamin Thomas Black, MD 701 Veterans United Dr, Columbia, MO 65201-4236 Ph: (573) 884-6052 |
Bailey M Clancy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Hospital Drive Pediatrics Dc058.00, Columbia, MO 65212 Phone: 573-882-4438 Fax: 573-884-9992 |
Madison T Ortega, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr # 58.00, Columbia, MO 65212 Phone: 573-882-4438 Fax: 573-884-9992 |
Daniela Cristina Bichianu, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1021 Hitt St, Columbia, MO 65212 Phone: 573-219-3960 Fax: 573-219-3964 |
Dr. Danielle Keebaugh Thaqi, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1021 Hitt St, Columbia, MO 65212 Phone: 573-882-6544 Fax: 573-884-5179 |
Nathan K Beckett, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 404 N Keene St, Columbia, MO 65201 Phone: 573-882-4438 Fax: 573-884-9992 |
Melissa A Lawson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1020 Hitt St, Columbia, MO 65212 Phone: 573-882-6921 Fax: 573-882-1154 |
Kristin Amanda Thomas Sohl, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 551 Veterans United Dr, Columbia, MO 65201 Phone: 573-882-4730 Fax: 573-884-4899 |