| John-david Black, MD | |
|
845 Swift Blvd, Richland, WA 99352 | |
| (509) 946-1654 | |
| (509) 943-5652 |
| Full Name | John-david Black |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 16 Years |
| Location | 845 Swift Blvd, Richland, Washington |
| 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 |
|---|---|---|---|
| 1619105004 | NPI | - | NPPES |
| 1619105004 | Medicaid | WA | |
| 102931509 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | MD60544517 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kadlec Regional Medical Center | Richland, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kadlec Regional Medical Center | 9739098617 | 375 |
| Entity Name | Kadlec Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972507580 PECOS PAC ID: 9739098617 Enrollment ID: O20031104000035 |
| Mailing Address | Practice Location Address |
|---|---|
| John-david Black, MD 560 Gage Blvd, Suite 203, Richland, WA 99352 Ph: (509) 942-3627 | John-david Black, MD 845 Swift Blvd, Richland, WA 99352 Ph: (509) 946-1654 |
Matthew Corey Woolf, PA-C Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 821 Swift Blvd, Richland, WA 99352 Phone: 509-606-5040 Fax: 509-946-7253 | |
Dr. Jacob M Stanfield, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 875 Swift Blvd, Richland, WA 99352 Phone: 509-946-1654 Fax: 509-943-5652 | |
Dr. David John Gibbons, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1351 Fowler Street, Richland, WA 99352 Phone: 509-946-1654 Fax: 509-943-5652 | |
Etasha Mukesh Bhatt, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1351 Fowler St, Richland, WA 99352 Phone: 509-946-1654 Fax: 509-943-5652 | |
Dr. Doyle Joshua Miller, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1351 Fowler Street, Richland, WA 99352 Phone: 509-946-1654 Fax: 509-943-5652 | |
Mr. Cameron Ritchie, PA-C Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 821 Swift Blvd, Richland, WA 99352 Phone: 509-606-5040 Fax: 509-946-7253 | |
Mary Lynn Scovazzo, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 875 Swift Blvd, Richland, WA 99352 Phone: 509-946-1654 Fax: 509-943-5652 |