Peter K Black, MD is a medicare enrolled "Preventive Medicine - Undersea And Hyperbaric Medicine" physician in Vancouver, Washington. He went to Oregon Health Sciences University School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Undersea And Hyperbaric Medicine. He is a member of the group practice Peacehealth and his current practice location is
8716 E Mill Plain Blvd, Vancouver, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 514-4325.
Peter K Black is licensed to practice in Washington (license number MD61439872) 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 1265460406.
Physician's Profile
| Full Name | Peter K Black |
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| Gender | Male |
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| Speciality | Undersea And Hyperbaric Medicine |
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| Experience | 24 Years |
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| Location | 8716 E Mill Plain Blvd, Vancouver, Washington |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Peter K Black attended and graduated from Oregon Health Sciences University School Of Medicine in 2000
NPI Data:
- NPI Number: 1265460406
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 07/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 5890690895
- Enrollment ID: I20230714003515
Medical Identifiers
Medical identifiers for Peter K Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265460406 | NPI | - | NPPES |
| 227426 | Medicaid | OR | |
| P00464800 | Other | OR | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | MD24481 (Oregon) | Secondary |
| 207R00000X | Internal Medicine | MD61439872 (Washington) | Secondary |
| 2083P0011X | Preventive Medicine - Undersea And Hyperbaric Medicine | MD61439872 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Peacehealth | 9739092065 | 86 |
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. Peter K Black allows following entities to bill medicare on his behalf.
| Entity Name | Peacehealth |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134178999
PECOS PAC ID: 9739092065
Enrollment ID: O20031111000831 |
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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. Peter K 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 |
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Peter K Black, MD
Po Box 3395,
Portland, OR 97208-3395
Ph: () - | Peter K Black, MD
8716 E Mill Plain Blvd,
Vancouver, WA 98664-2531
Ph: (360) 514-4325 |
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