Charles Dewayne Black, DO - Medicare Emergency Medicine in Ardmore, OK

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Charles Dewayne Black, DO is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Ardmore, Oklahoma. He went to Oklahoma State University College Of Osteopathic Medicine and graduated in 1991 and has 34 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Nes Oklahoma, Inc. and his current practice location is 1011 14th Ave Nw, Er Dept., Ardmore, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 220-6415.

Charles Dewayne Black is licensed to practice in Oklahoma (license number 3023) 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 1891757860.

Contact Information

Charles Dewayne Black, DO
1011 14th Ave Nw, Er Dept.,
Ardmore, OK 73401-1828
(580) 220-6415
(405) 749-4561

Map and Direction




Physician's Profile

Full NameCharles Dewayne Black
GenderMale
SpecialityEmergency Medicine
Experience34 Years
Location1011 14th Ave Nw, Ardmore, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charles Dewayne Black attended and graduated from Oklahoma State University College Of Osteopathic Medicine in 1991
  NPI Data:
  • NPI Number: 1891757860
  • Provider Enumeration Date: 04/05/2006
  • Last Update Date: 11/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1254438468
  • Enrollment ID: I20070523000495

Medical Identifiers

Medical identifiers for Charles Dewayne Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891757860NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207PE0004XEmergency Medicine - Emergency Medical Services 3023 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Integris Marshall County Medical CenterMadill, OKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nes Oklahoma, Inc.145626432450

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. Charles Dewayne Black allows following entities to bill medicare on his behalf.
Entity NameNes Oklahoma, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528040722
PECOS PAC ID: 1456264324
Enrollment ID: O20040726000516
Entity NameOklahoma Emergency Physician Partners Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891039764
PECOS PAC ID: 0345493649
Enrollment ID: O20130118000115

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. Charles Dewayne 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 AddressPractice Location Address
Charles Dewayne Black, DO
4401 W Memorial Rd, Suite 121,
Oklahoma City, OK 73134-1785

Ph: (405) 751-4664		Charles Dewayne Black, DO
1011 14th Ave Nw, Er Dept.,
Ardmore, OK 73401-1828

Ph: (580) 220-6415

Reviews and Comments


Emergency Medicine Doctors in Ardmore, OK

Mark Damon Ii, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401
Phone: 580-220-6658    Fax: 580-220-6673
Ernest Byron Foster Ii, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401
Phone: 580-220-6658    Fax: 580-220-6673
Dr. Daniel Ryan Wheeler, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401
Phone: 580-220-6588    
Lindsay Anne Wilson, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401
Phone: 580-220-6132    Fax: 580-220-6772
Daniel Francis Mckinley, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401
Phone: 580-220-6658    Fax: 580-220-6673
Dr. Jason Andrew Carter, MD, MHSA, FACEP
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1405 4th Ave Nw Ste 96, Ardmore, OK 73401
Phone: 417-612-3985    
Dr. Carl Allen Thompson, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1011 14th Ave Nw, Ardmore, OK 73401
Phone: 580-220-6658    Fax: 580-220-6673

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.