Dr Douglas Scott Black, MD | |
1002 Texas Blvd, Suite 401, Texarkana, TX 75501-5107 | |
(903) 794-8820 | |
(903) 794-8878 |
Full Name | Dr Douglas Scott Black |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 30 Years |
Location | 1002 Texas Blvd, Texarkana, Texas |
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 |
---|---|---|---|
1033108196 | NPI | - | NPPES |
100848130B | Medicaid | OK | |
042154704 | Medicaid | TX | |
140606001 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0011X | Internal Medicine - Interventional Cardiology | L0033 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wadley Regional Medical Center | Texarkana, TX | Hospital |
Wadley Regional Medical Center At Hope | Hope, AR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Permian Premier Health Services Inc | 8426051293 | 118 |
Permian Premier Health Services Inc | 8426051293 | 118 |
Entity Name | Permian Premier Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285664763 PECOS PAC ID: 8426051293 Enrollment ID: O20060816000446 |
Mailing Address | Practice Location Address |
---|---|
Dr Douglas Scott Black, MD 1002 Texas Blvd, Suite 401, Texarkana, TX 75501-5107 Ph: (903) 794-8820 | Dr Douglas Scott Black, MD 1002 Texas Blvd, Suite 401, Texarkana, TX 75501-5107 Ph: (903) 794-8820 |
Charles Chibundu Mbonu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2604 St. Michael Drive, Suite 310, Texarkana, TX 75503 Phone: 903-614-5001 Fax: 903-614-5077 | |
Jonathan F Thomas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Mrs. Michelle R Dehan, RN, ACNP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1550 Moores Ln, Texarkana, TX 75503 Phone: 903-793-7378 | |
Job Jacob, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525 | |
Jayendra D. Patel, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2600 Saint Michael Dr, Texarkana, TX 75503 Phone: 903-614-2111 Fax: 903-614-6913 | |
Dr. Thomas Alston, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1400 College Dr, Ste 202, Texarkana, TX 75503 Phone: 903-735-5330 |