| Dr Douglas Scott Black, MD | |
|
1002 Texas Blvd, Suite 401, Texarkana, TX 75501-5107 | |
| (903) 794-8820 | |
| (903) 794-8878 |
| Full Name | Dr Douglas Scott Black |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 31 Years |
| Location | 1002 Texas Blvd, Texarkana, Texas |
| 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 |
|---|---|---|---|
| 1033108196 | NPI | - | NPPES |
| 100848130B | Medicaid | OK | |
| 042154704 | Medicaid | TX | |
| 140606001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0011X | Internal Medicine - Interventional Cardiology | L0033 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Titus Regional Medical Center | Mount pleasant, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Titus County Hospital District | 0143203257 | 93 |
| Entity Name | Permian Premier Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285664763 PECOS PAC ID: 8426051293 Enrollment ID: O20060816000446 |
| Entity Name | Titus County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063548881 PECOS PAC ID: 0143203257 Enrollment ID: O20120525000534 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Douglas Scott Black, MD 1002 Texas Blvd, Suite 401, Texarkana, TX 75501-5107 Ph: (903) 794-8820 | Dr Douglas Scott Black, MD 1002 Texas Blvd, Suite 401, Texarkana, TX 75501-5107 Ph: (903) 794-8820 |
Charles Chibundu Mbonu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2604 St. Michael Drive, Suite 310, Texarkana, TX 75503 Phone: 903-614-5001 Fax: 903-614-5077 | |
Jonathan F Thomas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Mrs. Michelle R Dehan, RN, ACNP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1550 Moores Ln, Texarkana, TX 75503 Phone: 903-793-7378 | |
Job Jacob, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Jayendra D. Patel, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2600 Saint Michael Dr, Texarkana, TX 75503 Phone: 903-614-2111 Fax: 903-614-6913 | |
Dr. Thomas Alston, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1400 College Dr, Ste 202, Texarkana, TX 75503 Phone: 903-735-5330 |