Dr Derek Robert Black, DC is a medicare enrolled "Chiropractor" provider in Beavercreek, Ohio. He went to Los Angeles College Of Chiropractic and graduated in 1994 and has 30 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Advanced Medical And Wellness Center, Inc. and his current practice location is
3060 Dayton Xenia Rd, Suite A, Beavercreek, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 427-2225.
Dr Derek Robert Black is licensed to practice in Ohio (license number 2227) 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 1881781490.
Healthcare Provider's Profile
| Full Name | Dr Derek Robert Black |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 30 Years |
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| Location | 3060 Dayton Xenia Rd, Beavercreek, Ohio |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Derek Robert Black attended and graduated from Los Angeles College Of Chiropractic in 1994
NPI Data:
- NPI Number: 1881781490
- Provider Enumeration Date: 10/06/2006
- Last Update Date: 10/24/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163406216
- Enrollment ID: I20120404000722
Medical Identifiers
Medical identifiers for Dr Derek Robert Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881781490 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | 2227 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Advanced Medical And Wellness Center, Inc. | 0547536187 | 6 |
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 Robert Black allows following entities to bill medicare on his behalf.
| Provider Name | Advanced Medical & Wellness Center, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1598281057
PECOS PAC ID: 0547536187
Enrollment ID: O20171025002788 |
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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 Robert 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 |
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Dr Derek Robert Black, DC
3060 Dayton Xenia Rd, Suite A,
Beavercreek, OH 45434-6308
Ph: (937) 427-2225 | Dr Derek Robert Black, DC
3060 Dayton Xenia Rd, Suite A,
Beavercreek, OH 45434-6308
Ph: (937) 427-2225 |
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