Dr Charles B Black, MD in Durango, CO

Dr Charles B Black, MD is a medicare enrolled "Surgery" physician in Durango, Colorado. His current practice location is 1010 Three Springs Blvd, Durango, Colorado. You can reach out to his office (for appointments etc.) via phone at (970) 247-4311.

Dr Charles B Black is licensed to practice in Wisconsin (license number 42300) 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 1497764187.

Contact Information

	Dr Charles B Black, MD
	1010 Three Springs Blvd, Durango, CO 81301-8296
	(970) 247-4311
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Charles B Black
Gender	Male
Speciality	Surgery
Location	1010 Three Springs Blvd, Durango, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497764187
Provider Enumeration Date: 08/05/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 1456492032
Enrollment ID: I20130116000446

Medical Identifiers

Medical identifiers for Dr Charles B Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497764187	NPI	-	NPPES
33341000	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	42300 (Wisconsin)	Primary
208600000X	Surgery	DR.0051621 (Colorado)	Secondary

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 Charles B Black allows following entities to bill medicare on his behalf.

Entity Name	Catholic Health Initiatives Colorado
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462

Entity Name	Digestive Health Associates A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376522615 PECOS PAC ID: 6507756970 Enrollment ID: O20040318000905

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 Charles B 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
Dr Charles B Black, MD 1010 Three Springs Blvd, Durango, CO 81301-8296 Ph: (970) 247-4311	Dr Charles B Black, MD 1010 Three Springs Blvd, Durango, CO 81301-8296 Ph: (970) 247-4311

Reviews and Comments

Surgery Doctors in Durango, CO

Dr. Mark E Stern, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1 Mercado St, Suite 220, Durango, CO 81301 Phone: 970-247-4448 Fax: 970-382-6607
Frank Joseph Quayle Iv, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Mercado St, Suite 220, Durango, CO 81301 Phone: 970-247-4448 Fax: 970-382-6607
Dr. Rizwan Ahmed, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1 Mercado St Ste 220, Durango, CO 81301 Phone: 970-764-3450 Fax: 970-382-6607
Dr. David C Deaver Iii, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Mercado St, Suite 220, Durango, CO 81301 Phone: 970-247-4448 Fax: 970-382-6607
Dr. Robert C Wrona, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Mercado St, Ste 220, Durango, CO 81301 Phone: 970-764-3450 Fax: 970-382-6607

Dr Charles B Black, MD - Medicare Surgery in Durango, CO