Paul Clifford Black, MD in Crossville, TN

Paul Clifford Black, MD is a medicare enrolled "Family Medicine" physician in Crossville, Tennessee. His current practice location is 100 Lantana Rd Ste 202, Crossville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 484-5141.

Paul Clifford Black is licensed to practice in Missouri (license number 2020030965) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1285825836.

Contact Information

	Paul Clifford Black, MD
	100 Lantana Rd Ste 202, Crossville, TN 38555-1903
	(931) 484-5141
	(865) 374-2074

Map and Direction

Physician's Profile

Full Name	Paul Clifford Black
Gender	Male
Speciality
Experience	Years
Location	100 Lantana Rd Ste 202, Crossville, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Paul Clifford Black attended and graduated from in

NPI Data:

NPI Number: 1285825836
Provider Enumeration Date: 08/08/2007
Last Update Date: 05/27/2025

Medicare PECOS Information:

PECOS PAC ID:
Enrollment ID:

Medical Identifiers

Medical identifiers for Paul Clifford Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285825836	NPI	-	NPPES
165699202	Other		BLACK LUNG
Q009679	Medicaid	TN
621584391013	Other		TRICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	0101244723 (Virginia)	Secondary
207Q00000X	Family Medicine	44017 (Tennessee)	Secondary
207Q00000X	Family Medicine	2020030965 (Missouri)	Primary

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. Paul Clifford 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
Paul Clifford Black, MD 1000 Gw Ln, Waynesville, MO 65583-2339 Ph: (573) 774-2715	Paul Clifford Black, MD 100 Lantana Rd Ste 202, Crossville, TN 38555-1903 Ph: (931) 484-5141

Reviews and Comments

Family Medicine Doctors in Crossville, TN

Dr. Ronald James Varcak, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 133 Hayes St, Crossville, TN 38555 Phone: 931-456-9434 Fax: 931-456-5061
Dr. Douglas Ray Carpenter Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Lantana Road, Suite 202, Crossville, TN 38555 Phone: 931-484-5141 Fax: 931-484-5620
Dr. Lisa Payne Jones, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 57 W Adams St, Crossville, TN 38555 Phone: 931-787-1950 Fax: 931-787-1953
Beatrice L. Durham, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 421 South Main St., Crossville, TN 38555 Phone: 931-484-2879
Mr. Garland A Wilson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Lantana Rd, Suite 202, Crossville, TN 38555 Phone: 931-484-5141 Fax: 931-484-5141
Dr. Richard Matthew Buurman, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1645 S Main St, Suite 101, Crossville, TN 38555 Phone: 931-484-7531 Fax: 931-456-9515

Paul Clifford Black, MD - Medicare in Crossville, TN