| Peter K Black, MD | |
|
8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 | |
| (360) 514-4325 | |
| (360) 514-4336 |
| Full Name | Peter K Black |
|---|---|
| Gender | Male |
| Speciality | Undersea And Hyperbaric Medicine |
| Experience | 26 Years |
| Location | 8716 E Mill Plain Blvd, Vancouver, Washington |
| 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 |
|---|---|---|---|
| 1265460406 | NPI | - | NPPES |
| P00464800 | Other | OR | RR MEDICARE |
| 227426 | Medicaid | OR |
| Facility Name | Location | Facility Type |
|---|---|---|
| Peacehealth Southwest Medical Center | Vancouver, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peacehealth | 9739092065 | 93 |
| Entity Name | Peacehealth |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134178999 PECOS PAC ID: 9739092065 Enrollment ID: O20031111000831 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter K Black, MD 8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 Ph: (360) 514-4325 | Peter K Black, MD 8716 E Mill Plain Blvd, Vancouver, WA 98664-2531 Ph: (360) 514-4325 |
Craig F. Thompson, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 2621 Ne 134th St, Suite 310, Vancouver, WA 98686 Phone: 360-891-4900 Fax: 360-546-3510 | |
Matthew Ryan Campbell, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 17700 Se Mill Plain Blvd Ste 190, Vancouver, WA 98683 Phone: 800-813-2000 | |
Juliet Tran, M.D, M.P.H. Preventive Medicine Medicare: Medicare Enrolled Practice Location: 17700 Se Mill Plain Blvd, Vancouver, WA 98683 Phone: 504-988-2838 | |
Dr. Sandra Kay Buseman, MD MSPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 1601 E 4th Plain Blvd, Vancouver, WA 98661 Phone: 360-619-5925 | |
Erik D Geissal, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 7809 Ne Vancouver Plaza Dr Ste 110, Vancouver, WA 98662 Phone: 360-882-2778 Fax: 360-604-1728 |