Dr Charles Henry Black Iv, DO in Sonora, CA - Medicare Orthopedic Surgery

Dr Charles Henry Black Iv, DO is a medicare enrolled "Orthopaedic Surgery" physician in Sonora, California. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2006 and has 20 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Dhhs,phs,naihs Gallup Indian Medical Center and his current practice location is 1000 Greenley Rd, Sonora, California. You can reach out to his office (for appointments etc.) via phone at (209) 536-5054.

Dr Charles Henry Black Iv is licensed to practice in Mississippi (license number 23113) 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 1790988087.

Contact Information

	Dr Charles Henry Black Iv, DO
	1000 Greenley Rd, Sonora, CA 95370-5200
	(209) 536-5054
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Charles Henry Black Iv
Gender	Male
Speciality	Orthopedic Surgery
Experience	20 Years
Location	1000 Greenley Rd, Sonora, California
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:

Dr Charles Henry Black Iv attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2006

NPI Data:

NPI Number: 1790988087
Provider Enumeration Date: 06/06/2007
Last Update Date: 01/12/2026

Medicare PECOS Information:

PECOS PAC ID: 0042497554
Enrollment ID: I20250128004672

Medical Identifiers

Medical identifiers for Dr Charles Henry Black Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790988087	NPI	-	NPPES
08107236	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	20A24530 (California)	Secondary
207X00000X	Orthopaedic Surgery	5101016776 (Michigan)	Secondary
207X00000X	Orthopaedic Surgery	23113 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Gallup Indian Medical Center	Gallup, NM	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dhhs,phs,naihs Gallup Indian Medical Center	3173436409	134

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. Dr Charles Henry Black Iv allows following entities to bill medicare on his behalf.

Entity Name	Dhhs,phs,naihs Gallup Indian Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840

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. Dr Charles Henry Black Iv 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
Dr Charles Henry Black Iv, DO Po Box 247, Laurel, MS 39441-0247 Ph: (601) 649-5990	Dr Charles Henry Black Iv, DO 1000 Greenley Rd, Sonora, CA 95370-5200 Ph: (209) 536-5054

Reviews and Comments

Orthopaedic Surgery Doctors in Sonora, CA

Mr. Thomas James Mcdonald, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 680 Guzzi Lane, Suite 105, Sonora, CA 95370 Phone: 209-532-0126 Fax: 209-532-2950
Kevin Charles Booth, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 Greenley Rd Ste 914, Sonora, CA 95370 Phone: 095-365-7782 Fax: 209-536-5779
Dr. James Ivy Boyd Iii, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 680 Guzzi Ln Ste 105, Sonora, CA 95370 Phone: 209-532-0126 Fax: 209-532-2950
Dr. Airell Leighton Nygaard, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 680 Guzzi Ln, Suite 102, Sonora, CA 95370 Phone: 209-588-1800 Fax: 209-588-1700
Ariana Marie Demers, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 13949 Mono Way, Sonora, CA 95370 Phone: 209-533-5371
Ms. Keren Akakpo, PA-C Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 680 Guzzi Ln Ste 105, Sonora, CA 95370 Phone: 209-532-0126

Dr Charles Henry Black Iv, DO - Medicare Orthopedic Surgery in Sonora, CA