| Michael R Black, MD | |
|
98 State St, Proctorville, OH 45669-8163 | |
| (740) 886-9403 | |
| (740) 446-5153 |
| Full Name | Michael R Black |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 17 Years |
| Location | 98 State St, Proctorville, Ohio |
| 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 |
|---|---|---|---|
| 1588892194 | NPI | - | NPPES |
| 0067640 | Medicaid | OH | |
| 3810023380 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35098736 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary's Home Health Service | Proctorville, OH | Home health agency |
| St Mary's Medical Center | Huntington, WV | Hospital |
| Cabell Huntington Hospital Inc | Huntington, WV | Hospital |
| Holzer Medical Center | Gallipolis, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Holzer Clinic Llc | 5890606008 | 264 |
| Premier Therapy And Health Centers Inc | 7416859574 | 189 |
| Entity Name | Holzer Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R Black, MD 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 441-5749 | Michael R Black, MD 98 State St, Proctorville, OH 45669-8163 Ph: (740) 886-9403 |
Dr. C. Steven Batiste, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 98 State St, Proctorville, OH 45669 Phone: 740-886-9403 Fax: 740-446-5153 | |
Dr. Patti Jo Marcum, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7718 County Road 107, Proctorville, OH 45669 Phone: 740-886-1150 Fax: 408-861-1777 | |
Steven J Merkel, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 98 State St, Proctorville, OH 45669 Phone: 740-886-9403 Fax: 740-886-3006 | |
Michael J. Zirille, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 292 Township Road 1525, Proctorville, OH 45669 Phone: 740-441-0504 Fax: 000-000-0000 |