Mrs Tracy Reymore Black, PA-C in Myrtle Beach, SC

Mrs Tracy Reymore Black, PA-C is a medicare enrolled "Physician Assistant" in Myrtle Beach, South Carolina. She graduated from nursing school in 1989 and has 36 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Metrolina Dermatology And Skin Surgery Specialists Pllc, Charlotte Dermatology Pa and her current practice location is 8208 Devon Court, Suite B, Myrtle Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 364-6110.

Mrs Tracy Reymore Black is licensed to practice in North Carolina (license number 101218) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033181193.

Contact Information

	Mrs Tracy Reymore Black, PA-C
	8208 Devon Court, Suite B, Myrtle Beach, SC 29572
	(704) 364-6110
	(704) 364-4245

Map and Direction

Provider's Profile

Full Name	Mrs Tracy Reymore Black
Gender	Female
Speciality	Physician Assistant
Experience	36 Years
Location	8208 Devon Court, Myrtle Beach, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Tracy Reymore Black graduated from nursing school in 1989

NPI Data:

NPI Number: 1033181193
Provider Enumeration Date: 02/03/2006
Last Update Date: 12/21/2018

Medicare PECOS Information:

PECOS PAC ID: 8123171170
Enrollment ID: I20181128002982

Medical Identifiers

Medical identifiers for Mrs Tracy Reymore Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033181193	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	101218 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Metrolina Dermatology And Skin Surgery Specialists Pllc	3173891892	27
Charlotte Dermatology Pa	4486624590	20

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. Mrs Tracy Reymore 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
Mrs Tracy Reymore Black, PA-C 8208 Devon Court, Suite B, Myrtle Beach, SC 29572 Ph: (704) 364-6110	Mrs Tracy Reymore Black, PA-C 8208 Devon Court, Suite B, Myrtle Beach, SC 29572 Ph: (704) 364-6110

Reviews and Comments

Physician Assistant Nurses in Myrtle Beach, SC

Samuel Lauer, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-692-1000
Lisa Marie Wilson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 809 82nd Pkwy, Myrtle Beach, SC 29572 Phone: 843-497-5929 Fax: 843-497-6601
Morgan Overton Phillips, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 920 Doug White Dr Ste 510, Myrtle Beach, SC 29572 Phone: 843-497-7772 Fax: 843-848-7530
La'asha Burgess, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 920 Doug White Dr Ste 210, Myrtle Beach, SC 29572 Phone: 843-497-6348 Fax: 843-497-6351
Madison Olivia Hinde, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1541 Brookgreen Dr, Myrtle Beach, SC 29577 Phone: 843-455-0777
Douglas Todd Vick, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4736 Highway 17 Byp S, Myrtle Beach, SC 29588 Phone: 843-213-2039 Fax: 843-293-2454

Mrs Tracy Reymore Black, PA-C - Medicare Physician Assistant in Myrtle Beach, SC