| Dr Nicholette M Black, DO | |
|
5251 W Highway 290, Austin, TX 78735-8963 | |
| (512) 654-3000 | |
| Not Available |
| Full Name | Dr Nicholette M Black |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 7 Years |
| Location | 5251 W Highway 290, Austin, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306407481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | V9281 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baylor Scott & White Medical Center- Austin | Austin, TX | Hospital |
| Scott & White Hospital-round Rock | Round rock, TX | Hospital |
| Baylor Scott & White Medical Center - Marble Falls | Marble falls, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott And White Clinic | 8123923604 | 2426 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nicholette M Black, DO Po Box 844658, Dallas, TX 75284-4658 Ph: (800) 994-0371 | Dr Nicholette M Black, DO 5251 W Highway 290, Austin, TX 78735-8963 Ph: (512) 654-3000 |
Julie Mckenzie Sprunt, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 901 W 38th St Ste 300, Austin, TX 78705 Phone: 512-421-4100 Fax: 512-419-0924 |
Kevin P O'farrell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6811 Austin Center Blvd # 300, Austin, TX 78731 Phone: 512-344-0368 Fax: 512-344-0335 |
Mark Raymond Lindsey, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3901 Medical Pkwy, Suite 200, Austin, TX 78756 Phone: 512-467-7151 Fax: 512-467-8809 |
Jose L Bravo, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 313 E 12th St Ste 100, Austin, TX 78701 Phone: 512-324-8960 Fax: 512-324-8962 |
Kaylyn Barrett, Surgery Medicare: Medicare Enrolled Practice Location: 1501 Red River St Fl 2, Austin, TX 78712 Phone: 512-495-5555 |
Nathaniel Evans, MD Surgery Medicare: Medicare Enrolled Practice Location: 1501 Red River St Fl 2, Austin, TX 78712 Phone: 512-495-5555 |
Charlie P Ross, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2911 Medical Arts St, Bldg 2 Attn: Austin Surgical Clinic Assn, Austin, TX 78705 Phone: 512-478-3402 Fax: 512-478-7114 |