| Dr Richard R Black, DO | |
|
28062 Baxter Rd, Murrieta, CA 92563-1401 | |
| (951) 290-4000 | |
| Not Available |
| Full Name | Dr Richard R Black |
|---|---|
| Gender | Male |
| Speciality | Nuclear Medicine |
| Experience | 43 Years |
| Location | 28062 Baxter Rd, Murrieta, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093798720 | NPI | - | NPPES |
| 0019707330001 | Medicaid | PA | |
| 3312151 00 | Other | MD | MEDICAID PTAN |
| 8470726 | Medicaid | WA | |
| BL4212094 | Other | OH | MEDICARE PTAN |
| 0834262 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 34003488 (Ohio) | Secondary |
| 207U00000X | Nuclear Medicine | 34003488 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gulf Coast Regional Medical Center | Panama city, FL | Hospital |
| St Francis Hospital- Emory Healthcare | Columbus, GA | Hospital |
| Highlands Regional Medical Center | Sebring, FL | Hospital |
| El Centro Regional Medical Center | El centro, CA | Hospital |
| Fairview Park Hospital | Dublin, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fands Radiology Pc | 0244368868 | 90 |
| Lima Memorial Professional Corporation | 1254232184 | 190 |
| Vesta Telemedicine Solutions Pc | 2365850948 | 34 |
| Sheridan Radiology Services Of Central Florida Inc | 4688762149 | 113 |
| Vesta Telemedicine Solutions Pllc | 9638585706 | 40 |
| Partners In Imaging Inc | 6901886092 | 9 |
| Lifebridge Community Physicians Inc | 3678751468 | 175 |
| Professional Services Of Holy Cross | 3779516992 | 137 |
| Entity Name | Lima Memorial Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457474900 PECOS PAC ID: 1254232184 Enrollment ID: O20040115000131 |
| Entity Name | Franklin & Seidelmann Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972539245 PECOS PAC ID: 9638078256 Enrollment ID: O20060911000323 |
| Entity Name | Radadvantage A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20090618000471 |
| Entity Name | F&s Radiology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518299957 PECOS PAC ID: 0244368868 Enrollment ID: O20100628000202 |
| Entity Name | Elite Imaging Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942208319 PECOS PAC ID: 2466496880 Enrollment ID: O20150310002361 |
| Entity Name | Sheridan Radiology Services Of Central Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275997934 PECOS PAC ID: 4688762149 Enrollment ID: O20180611001683 |
| Entity Name | Eastpointe Radiologists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881642056 PECOS PAC ID: 7618876327 Enrollment ID: O20200624003022 |
| Entity Name | Vesta Telemedicine Solutions Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952902116 PECOS PAC ID: 9638585706 Enrollment ID: O20210819002487 |
| Entity Name | Vesta Telemedicine Solutions Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710571153 PECOS PAC ID: 2365850948 Enrollment ID: O20240212002818 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Richard R Black, DO Po Box 89, Chagrin Falls, OH 44022-0089 Ph: (216) 245-0203 | Dr Richard R Black, DO 28062 Baxter Rd, Murrieta, CA 92563-1401 Ph: (951) 290-4000 |