Keith N Black, DO is a medicare enrolled "Family Medicine" physician in Panhandle, Texas. His current practice location is
421 Main Street, Panhandle, Texas. You can reach out to his office (for appointments etc.) via phone at
(806) 532-2273.
Keith N Black is licensed to practice in Texas (license number E9543) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1386668267.
Physician's Profile
Full Name | Keith N Black |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 421 Main Street, Panhandle, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1386668267
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 03/01/2012
Medicare PECOS Information:
- PECOS PAC ID: 7719984533
- Enrollment ID: I20100527000196
Medical Identifiers
Medical identifiers for Keith N Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386668267 | NPI | - | NPPES |
131469204 | Medicaid | TX | |
E9543 | Other | TX | UNICARE |
E9543 | Other | TX | WORKER'S COMPENSATION |
80138267 | Other | TX | RAILROAD MEDICARE |
108684100 | Other | TX | FIRST CARE |
1186100001 | Other | TX | CIGNA DMERC |
1186100001 | Other | TX | PALMETTO DMERC |
132180100 | Other | TX | SOUTHWEST LIFE & HEALTH |
84V315 | Other | TX | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | E9543 (Texas) | Primary |
207Q00000X | Family Medicine | 1793 (Oklahoma) | Secondary |
207Q00000X | Family Medicine | 0320000253 (Vermont) | Secondary |
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. Keith N Black allows following entities to bill medicare on his behalf.
Entity Name | Pampa Medical Development Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225572217 PECOS PAC ID: 8729360888 Enrollment ID: O20170125000598 |
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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. Keith N 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 |
Keith N Black, DO Po Box 10, Panhandle, TX 79068-0010 Ph: (806) 532-2273 | Keith N Black, DO 421 Main Street, Panhandle, TX 79068 Ph: (806) 532-2273 |
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