| Justin Clint Black, MD | |
|
18 13th Ave Ne, Hickory, NC 28601-3748 | |
| (828) 322-2644 | |
| (828) 327-2235 |
| Full Name | Justin Clint Black |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 12 Years |
| Location | 18 13th Ave Ne, Hickory, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508206285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | LL35690 (South Carolina) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 2018-01112 (North Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Frye Regional Medical Center | Hickory, NC | Hospital |
| Catawba Valley Medical Center | Hickory, NC | Hospital |
| Caldwell Memorial Hospital | Lenoir, NC | Hospital |
| Carolinas Healthcare System-blue Ridge | Morganton, NC | Hospital |
| Rutherford Regional Medical Center | Rutherfordton, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Catawba Radiological Associates Inc | 9335036789 | 15 |
| Entity Name | Catawba Radiological Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679684948 PECOS PAC ID: 9335036789 Enrollment ID: O20040302000093 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Clint Black, MD Po Box 308, Hickory, NC 28603-0308 Ph: (828) 322-2644 | Justin Clint Black, MD 18 13th Ave Ne, Hickory, NC 28601-3748 Ph: (828) 322-2644 |
Dr. Alan D Massengill, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 18 13th Ave Ne, Hickory, NC 28601 Phone: 828-322-2644 Fax: 828-327-2235 | |
Dr. John C Bools, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 18 13th Ave Ne, Hickory, NC 28601 Phone: 828-322-2644 Fax: 828-327-2235 | |
Dr. Richard F Curtis, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 18 13th Ave Ne, Hickory, NC 28601 Phone: 828-322-2644 Fax: 828-327-2235 | |
Matthew D Dyson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 18 13th Ave Ne, Hickory, NC 28601 Phone: 828-322-2644 Fax: 828-327-2235 | |
Dr. Charles D Scheil, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 18 13th Ave Ne, Hickory, NC 28601 Phone: 828-322-2644 Fax: 828-327-2235 | |
Dr. John J Battiston Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 18 13th Ave Ne, Hickory, NC 28601 Phone: 828-322-2644 Fax: 828-327-2235 | |
Dr. John Parks Booker, M, D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 18 13th Ave Ne, Hickory, NC 28601 Phone: 828-322-2644 Fax: 828-327-2235 |