Dr Derek Alan Black, OD in Cumming, GA - Medicare Optometry Provider

Dr Derek Alan Black, OD is a medicare enrolled "Optometrist" provider in Cumming, Georgia. He went to Southern College Of Optometry and graduated in 2013 and has 11 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Eagle View Eye Care Llc and his current practice location is 1211 Bald Ridge Marina Rd, Cumming, Georgia. You can reach out to his office (for appointments etc.) via phone at (470) 239-6625.

Dr Derek Alan Black is licensed to practice in Georgia (license number OPT002922) 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 1114353232.

Contact Information

	Dr Derek Alan Black, OD
	1211 Bald Ridge Marina Rd, Cumming, GA 30041-8484
	(470) 239-6625
	(470) 239-6626

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Derek Alan Black
Gender	Male
Speciality	Optometry
Experience	11 Years
Location	1211 Bald Ridge Marina Rd, Cumming, Georgia
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:

Dr Derek Alan Black attended and graduated from Southern College Of Optometry in 2013

NPI Data:

NPI Number: 1114353232
Provider Enumeration Date: 09/20/2013
Last Update Date: 10/26/2020

Medicare PECOS Information:

PECOS PAC ID: 9133410848
Enrollment ID: I20160627001622

Medical Identifiers

Medical identifiers for Dr Derek Alan Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114353232	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT002922 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eagle View Eye Care Llc	7214348259	4

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. Dr Derek Alan Black allows following entities to bill medicare on his behalf.

Provider Name	Eagle View Eye Care Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1508495474 PECOS PAC ID: 7214348259 Enrollment ID: O20210308000835

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. Dr Derek Alan 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
Dr Derek Alan Black, OD 1211 Bald Ridge Marina Rd, Cumming, GA 30041-8484 Ph: (470) 239-6625	Dr Derek Alan Black, OD 1211 Bald Ridge Marina Rd, Cumming, GA 30041-8484 Ph: (470) 239-6625

Reviews and Comments

Optometrist in Cumming, GA

Dr. Elisabeth J Lawson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1525 Market Place Blvd, Cumming, GA 30041 Phone: 770-292-9015 Fax: 678-513-4175
Complete Family Eyecare And Optique Pc Optometrist Medicare: Medicare Enrolled Practice Location: 2350 Atlanta Hwy Ste 110, Cumming, GA 30040 Phone: 678-965-5558 Fax: 678-965-5502
Kimberley A Linert, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 525 Tribble Gap Rd, #1305, Cumming, GA 30028 Phone: 404-234-5773
Thomas Eye Group Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 546 Lakeland Plz, Cumming, GA 30040 Phone: 678-892-2020
Mr. Michael Wayne Hung, OD Optometrist Medicare: Medicare Enrolled Practice Location: 410 Peachtree Pkwy Ste 220, Cumming, GA 30041 Phone: 770-887-6579
Marietta Eye Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2860 Ronald Reagan Blvd, Cumming, GA 30041 Phone: 770-427-8111
Dr. Erica Lynne Bridges, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1034 Haw Creek Circle, Suite 100, Cumming, GA 30041 Phone: 678-381-2020

Dr Derek Alan Black, OD - Medicare Optometrist in Cumming, GA