Bruce T Black, MD | |
401 Baptist Dr, Suite 104, Madison, MS 39110-2009 | |
(601) 605-3858 | |
(601) 605-3898 |
Full Name | Bruce T Black |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 22 Years |
Location | 401 Baptist Dr, Madison, Mississippi |
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 |
---|---|---|---|
1730199290 | NPI | - | NPPES |
07401794 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 18358 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mississippi Homecare Of Jackson | Jackson, MS | Home health agency |
Sta Home Health And Hospice | Clinton, MS | Home health agency |
Mississippi Baptist Medical Center | Jackson, MS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Foundation Of Central Mississippi Inc | 1153216411 | 236 |
Entity Name | Medical Foundation Of Central Mississippi Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992774814 PECOS PAC ID: 1153216411 Enrollment ID: O20040217000380 |
Mailing Address | Practice Location Address |
---|---|
Bruce T Black, MD 965 Ridge Lake Blvd Ste 103, Memphis, TN 38120-9446 Ph: (901) 227-3255 | Bruce T Black, MD 401 Baptist Dr, Suite 104, Madison, MS 39110-2009 Ph: (601) 605-3858 |
Timothy Chin-yu Chen, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 401 Baptist Dr, Suite 104, Madison, MS 39110 Phone: 601-605-2383 | |
Micah R. Walker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 129 Fountains Blvd Ste 101, Madison, MS 39110 Phone: 769-300-0700 Fax: 769-300-0707 | |
Paul A Veregge, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 138 Fenwick Cir, Madison, MS 39110 Phone: 210-387-0306 | |
Brian Scott Torrey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 Highland Way, Suite 103, Madison, MS 39110 Phone: 601-200-4750 Fax: 601-200-4740 | |
Robert May, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 935 Highway 51, Madison, MS 39110 Phone: 601-856-5986 Fax: 601-853-2321 | |
Joe W Terry, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 935 Highway 51, Madison, MS 39110 Phone: 601-856-5986 Fax: 601-853-2321 | |
Dr. Reginald D Rigsby, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1082 Gluckstadt Rd, Madison, MS 39110 Phone: 601-707-5621 Fax: 601-707-5627 |