| Molly Dianne Black, MD | |
|
875 Swift Blvd Ste A, Richland, WA 99352-3513 | |
| (509) 946-1654 | |
| (509) 943-5652 |
| Full Name | Molly Dianne Black |
|---|---|
| Gender | Female |
| Speciality | Orthopedic Surgery |
| Experience | 24 Years |
| Location | 875 Swift Blvd Ste A, Richland, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932214251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 2021015522 (Missouri) | Secondary |
| 207X00000X | Orthopaedic Surgery | MD61559996 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Research Medical Center | Kansas city, MO | Hospital |
| Kadlec Regional Medical Center | Richland, WA | Hospital |
| North Kansas City Hospital | North kansas city, MO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthopedic Surgeons Pa | 8527034123 | 27 |
| Orthopedic Surgeons Pa | 8527034123 | 27 |
| Kadlec Regional Medical Center | 9739098617 | 375 |
| Entity Name | Orthopedic Surgeons Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841264835 PECOS PAC ID: 8527034123 Enrollment ID: O20210503000420 |
| Mailing Address | Practice Location Address |
|---|---|
| Molly Dianne Black, MD 550 Gage Blvd Ste 101, Richland, WA 99352-9532 Ph: (509) 473-0637 | Molly Dianne Black, MD 875 Swift Blvd Ste A, Richland, WA 99352-3513 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 |