William L Black Jr.

M.D. | Pediatrics | Male

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Complete Profile:

William L Black Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	William L Black Jr.
Credential :	M.D.
Gender :	Male

Business Address:

William L Black Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1485 Chester Blvd Richmond, IN, 47374-1919 United States
Phone Number :	765-966-5527
Fax Number :	765-966-5527

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1609800598
NPI Entity Type :	Individual
First Enrolment Date :	10 Jul, 2006
Last Updated On :	12 May, 2021

Medicare Participation:

William L Black Jr. participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	8820152283
Medicare Enrollment ID :	I20090129000293
Primary Specialty :	Internal Medicine
Medical School :	University Of Cincinnati College Of Medicine
Graduation Year :	1993
Accepts Medicare?	Yes. William L Black Jr. accepts medicare insurance.

Group Practice Association:

William L Black Jr. is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which William L Black Jr. is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Reid Hospital And Health Care Services Inc	5799695920	16	1100 Reid Pkwy Richmond, IN - 473741157 Ph: 7659833000	Yes
Reid Physician Associates, Inc.	6406910769	334	1485 Chester Blvd Richmond, IN - 473741919 Ph: 7659665527	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for William L Black Jr. are as mentioned. Primary taxonomy code for William L Black Jr., M.D. is 208000000X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
207R00000X	Internal Medicine	No	01042757A	IN
208000000X	Pediatrics	Yes	01042757A	IN

Legacy Identifiers:

Other legacy medical identifiers of William L Black Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
000000681708	Other		ANTHEM BCBS (RPA)
201003480	MEDICAID	IN
3160510	MEDICAID	OH

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1100 Reid Pkwy, Medical Staff Services Richmond, IN, 47374-1157 United States
Phone Number :	765-966-5527
Fax Number :	765-966-5528

Business Location:

Patients can refer following map for directions to William L Black Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.