Dr John Thomas Black Jr, DMD in Pontotoc, MS

Dr John Thomas Black Jr, DMD is a medicare enrolled "Dentist - General Practice" provider in Pontotoc, Mississippi. His current practice location is 209 S Main St, Pontotoc, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 489-7768.

Dr John Thomas Black Jr is licensed to practice in Mississippi (license number 2066-84) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376632943.

Contact Information

	Dr John Thomas Black Jr, DMD
	209 S Main St, Pontotoc, MS 38863-3319
	(662) 489-7768
	(877) 698-4592

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John Thomas Black Jr
Gender	Male
Speciality	Dentist - General Practice
Location	209 S Main St, Pontotoc, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376632943
Provider Enumeration Date: 10/12/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7618289364
Enrollment ID: I20150708003103

Medical Identifiers

Medical identifiers for Dr John Thomas Black Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376632943	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	2066-84 (Mississippi)	Primary

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 John Thomas Black Jr 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 John Thomas Black Jr, DMD Po Box 539, 209 S Main St, Pontotoc, MS 38863-0539 Ph: (662) 489-7768	Dr John Thomas Black Jr, DMD 209 S Main St, Pontotoc, MS 38863-3319 Ph: (662) 489-7768

Reviews and Comments

Dentist in Pontotoc, MS

Dr. Matthew Carter Clayton, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 209 S Main St, Pontotoc, MS 38863 Phone: 662-586-2311
Dr. Elizabeth Todd, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 152 Highway 15 N, Pontotoc, MS 38863 Phone: 662-489-7328
Dr. Anna Grace Clayton, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 209 S Main St, Pontotoc, MS 38863 Phone: 662-586-2311
Dr. Angela Paige Pennington, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 29 Maggie Drive, Pontotoc, MS 38863 Phone: 662-488-9905 Fax: 662-488-0020

Dr John Thomas Black Jr, DMD - Medicare Dentist in Pontotoc, MS