Dr John William Black, MD in Charlotte, NC - Medicare Diagnostic Radiology

Dr John William Black, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Charlotte, North Carolina. He went to Georgetown University School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Mecklenburg Radiology Associates Pa and his current practice location is 3623 Latrobe Dr, Suite 216, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 332-1291.

Dr John William Black is licensed to practice in North Carolina (license number 96-01000) 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 1023092095.

Contact Information

	Dr John William Black, MD
	3623 Latrobe Dr, Suite 216, Charlotte, NC 28211
	(704) 332-1291
	(704) 332-5206

Map and Direction

Physician's Profile

Full Name	Dr John William Black
Gender	Male
Speciality	Diagnostic Radiology
Experience	34 Years
Location	3623 Latrobe Dr, Charlotte, North Carolina
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 John William Black attended and graduated from Georgetown University School Of Medicine in 1990

NPI Data:

NPI Number: 1023092095
Provider Enumeration Date: 12/02/2005
Last Update Date: 09/13/2020

Medicare PECOS Information:

PECOS PAC ID: 6103895479
Enrollment ID: I20041006000565

Medical Identifiers

Medical identifiers for Dr John William Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023092095	NPI	-	NPPES
891010R	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	27821 (South Carolina)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	96-01000 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Novant Health Huntersville Medical Center	Huntersville, NC	Hospital
Novant Health Presbyterian Medical Center	Charlotte, NC	Hospital
Novant Health Matthews Medical Center	Matthews, NC	Hospital
Lake Norman Regional Medical Center	Mooresville, NC	Hospital
Novant Health Mint Hill Medical Center	Charlotte, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mecklenburg Radiology Associates Pa	6800789587	77

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 John William Black allows following entities to bill medicare on his behalf.

Entity Name	Mecklenburg Radiology Associates Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295790657 PECOS PAC ID: 6800789587 Enrollment ID: O20040205001004

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 John William 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
Dr John William Black, MD Po Box 221249, Charlotte, NC 28222-1249 Ph: (704) 332-1291	Dr John William Black, MD 3623 Latrobe Dr, Suite 216, Charlotte, NC 28211 Ph: (704) 332-1291

Reviews and Comments

Radiology Doctors in Charlotte, NC

Whitney Feltus, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211 Phone: 980-208-1704 Fax: 704-926-1832
Edward Barnwell Black, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1705 East Blvd, Charlotte, NC 28203 Phone: 704-909-5960 Fax: 704-770-0501
Thaddeus Drexel Houston, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1701 East Blvd, Charlotte, NC 28203 Phone: 704-334-7800 Fax: 704-414-7512
Matthew James Locker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211 Phone: 704-332-1291 Fax: 704-926-1832
Kelli A. Reardon, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 Queens Rd, Charlotte, NC 28204 Phone: 434-982-0777 Fax: 434-982-0792
Mr. Andrew Joseph Bojanowski, PA-C Radiology Medicare: Accepting Medicare Assignments Practice Location: 3623 Latrobe Dr Ste 216, Charlotte, NC 28211 Phone: 704-332-1291

Dr John William Black, MD - Medicare Diagnostic Radiology in Charlotte, NC