Brian Houston Black, DO | |
1542 S Bloomington St, Greencastle, IN 46135-2297 | |
(765) 301-7617 | |
(317) 301-7621 |
Full Name | Brian Houston Black |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 21 Years |
Location | 1542 S Bloomington St, Greencastle, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437255239 | NPI | - | NPPES |
200521550 | Medicaid | IN | |
P00332798 | Other | IN | RAILROAD MEDICARE |
1437255239 | Other | IN | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 02002904A (Indiana) | Secondary |
207Q00000X | Family Medicine | 02002904A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health | Bloomington, IN | Home health agency |
Great Lakes Caring | Kokomo, IN | Hospice |
Great Lakes Caring | Plainfield, IN | Hospice |
Hendricks Regional Health | Danville, IN | Hospital |
Putnam County Hospital | Greencastle, IN | Hospital |
Greene County General Hospital | Linton, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Greene County General Hospital | 2961481544 | 39 |
Hendricks County Hospital | 4880505528 | 270 |
Entity Name | Acute Medical Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790868016 PECOS PAC ID: 3173410073 Enrollment ID: O20040304000203 |
Entity Name | Putnam County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578608188 PECOS PAC ID: 1951396605 Enrollment ID: O20040420000945 |
Entity Name | Greene County General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184695389 PECOS PAC ID: 2961481544 Enrollment ID: O20040716000806 |
Entity Name | Hendricks County Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063411551 PECOS PAC ID: 4880505528 Enrollment ID: O20040811000309 |
Mailing Address | Practice Location Address |
---|---|
Brian Houston Black, DO 1145 Indianapolis Rd, Greencastle, IN 46135-2408 Ph: (765) 653-8453 | Brian Houston Black, DO 1542 S Bloomington St, Greencastle, IN 46135-2297 Ph: (765) 301-7617 |
Ceciley Starkey Casselman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1542 S Bloomington St, Greencastle, IN 46135 Phone: 765-301-7679 | |
Warren L Macy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 Medic Way, Greencastle, IN 46135 Phone: 765-653-2626 | |
Steve A Kissel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1148 Indianapolis Rd, Greencastle, IN 46135 Phone: 765-653-4003 Fax: 765-653-8930 | |
Brian Edward Downen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 309 Medic Way, Greencastle, IN 46135 Phone: 765-653-2626 | |
Aditya Ahlawat, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1542 S Bloomington St, Greencastle, IN 46135 Phone: 765-658-2753 Fax: 765-655-2687 | |
Dr. Marnie Jean Widdifield, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1542 S Bloomington St, Greencastle, IN 46135 Phone: 765-301-7617 Fax: 765-301-7621 | |
Dr. Thomas Houston Black Iii, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1145 Indianapolis Road, Greencastle, IN 46135 Phone: 765-653-8453 Fax: 765-653-8493 |