Dr Charles Henry Black Iv, DO in Laurel, MS - Medicare Orthopedic Surgery

Dr Charles Henry Black Iv, DO is a medicare enrolled "Orthopaedic Surgery" physician in Laurel, Mississippi. He went to New York College Of Osteo Medicine Of New York Institute Of Technology and graduated in 2006 and has 18 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice South Central Clinics, Inc and his current practice location is 1002 Jefferson St., Suite 350, Laurel, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 649-5990.

Dr Charles Henry Black Iv is licensed to practice in Mississippi (license number 23113) 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 1790988087.

Contact Information

	Dr Charles Henry Black Iv, DO
	1002 Jefferson St., Suite 350, Laurel, MS 39440-4306
	(601) 649-5990
	(601) 425-7510

Map and Direction

Physician's Profile

Full Name	Dr Charles Henry Black Iv
Gender	Male
Speciality	Orthopedic Surgery
Experience	18 Years
Location	1002 Jefferson St., Laurel, 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.

Medical Education and Training:

Dr Charles Henry Black Iv attended and graduated from New York College Of Osteo Medicine Of New York Institute Of Technology in 2006

NPI Data:

NPI Number: 1790988087
Provider Enumeration Date: 06/06/2007
Last Update Date: 01/06/2020

Medicare PECOS Information:

PECOS PAC ID: 0042497554
Enrollment ID: I20140725001863

Medical Identifiers

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

Identifier	Type	State	Issuer
1790988087	NPI	-	NPPES
08107236	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	5101016776 (Michigan)	Secondary
207X00000X	Orthopaedic Surgery	23113 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
South Central Reg Med Ctr	Laurel, MS	Hospital
Wayne General Hospital	Waynesboro, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
South Central Clinics, Inc	4385876655	100

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 Henry Black Iv allows following entities to bill medicare on his behalf.

Entity Name	Madison Hma Physician Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740359249 PECOS PAC ID: 1355444035 Enrollment ID: O20070319000178

Entity Name	South Central Clinics, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801226287 PECOS PAC ID: 4385876655 Enrollment ID: O20140515000834

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 Henry Black Iv 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 Henry Black Iv, DO Po Box 247, Laurel, MS 39441-0247 Ph: (601) 649-5990	Dr Charles Henry Black Iv, DO 1002 Jefferson St., Suite 350, Laurel, MS 39440-4306 Ph: (601) 649-5990

Reviews and Comments

Orthopaedic Surgery Doctors in Laurel, MS

Dr. Steven Douglas Nowicki, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1002 Jefferson Street, Suite 350, Laurel, MS 39440 Phone: 601-649-5990 Fax: 601-425-7510
Dr. Richard O'keeffe Jr., M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1002 Jefferson Street, Suite 350, Laurel, MS 39440 Phone: 601-649-5990
Dr. Edward Randolph Turnbull, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 424 S 13th Ave, Laurel, MS 39440 Phone: 601-649-5990 Fax: 601-425-7510
Thomas B Baylis, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1002 Jefferson St, Suite 350, Laurel, MS 39440 Phone: 601-649-5990
Dr. Cleveland Eric Johnson, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 424 S 13th Ave, Laurel, MS 39440 Phone: 601-649-5990 Fax: 601-425-7510
Dr. Thomas Harold Blake Jr., M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 424 S 13th Ave, Laurel, MS 39440 Phone: 601-399-6167 Fax: 601-399-6281
Dr. William A Morrison, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1002 Jefferson Street, Suite 350, Laurel, MS 39440 Phone: 601-649-5990 Fax: 601-425-7510

Dr Charles Henry Black Iv, DO - Medicare Orthopedic Surgery in Laurel, MS