| Kelly Black, | |
|
7100 W 9th Ave, Amarillo, TX 79106-1704 | |
| (806) 212-0247 | |
| Not Available |
| Full Name | Kelly Black |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 7100 W 9th Ave, Amarillo, Texas |
| 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 |
|---|---|---|---|
| 1881928299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 675500 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Patriot Anesthesia | 6608139308 | 4 |
| Entity Name | Deaf Smith County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568454403 PECOS PAC ID: 8123923497 Enrollment ID: O20040510000475 |
| Entity Name | Northstar Anesthesia Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912978610 PECOS PAC ID: 7315907128 Enrollment ID: O20041015000685 |
| Entity Name | Texas Anesthesia Partners, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144673468 PECOS PAC ID: 3870879828 Enrollment ID: O20170406000406 |
| Entity Name | Patriot Anesthesia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720589310 PECOS PAC ID: 6608139308 Enrollment ID: O20180411000697 |
| Entity Name | Emergenchealth Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467970897 PECOS PAC ID: 1355606641 Enrollment ID: O20180608000439 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Black, 5327 N Central Expy, Ste 200, Dallas, TX 75205-3345 Ph: () - | Kelly Black, 7100 W 9th Ave, Amarillo, TX 79106-1704 Ph: (806) 212-0247 |
David Ross Taylor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1600 Wallace Blvd, Amarillo, TX 79106 Phone: 806-212-2000 | |
Julie Davis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6819 Plum Creek Dr, Amarillo, TX 79124 Phone: 806-355-9595 Fax: 806-353-1589 | |
Christopher Adam Roe, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6819 Plum Creek Dr, Amarillo, TX 79124 Phone: 806-354-6100 | |
Aaron Everett Landers, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6819 Plum Creek Dr, Amarillo, TX 79124 Phone: 806-354-6100 | |
Brittany Alexis Morrison, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 7310 Fleming Ave, Amarillo, TX 79106 Phone: 806-354-8891 | |
Amy Jeannette Aguirre, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6819 Plum Creek Dr, Amarillo, TX 79124 Phone: 806-354-6100 | |
Joshua Michael Pritchet, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1501 S Coulter St, Amarillo, TX 79106 Phone: 806-354-1000 |