Dr Henry Cooper Black Iii, MD | |
1210 W Faris Rd, Greenville, SC 29605-4444 | |
(864) 522-1800 | |
Not Available |
Full Name | Dr Henry Cooper Black Iii |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 31 Years |
Location | 1210 W Faris Rd, Greenville, South Carolina |
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 |
---|---|---|---|
1770541906 | NPI | - | NPPES |
172574 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 17257 (South Carolina) | Secondary |
2085R0204X | Radiology - Vascular & Interventional Radiology | 17257 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Health | Columbia, SC | Hospital |
Kershawhealth | Camden, SC | Hospital |
Prisma Health Richland Hospital | Columbia, SC | Hospital |
Prisma Health Baptist | Columbia, SC | Hospital |
Lexington Medical Center | West columbia, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prisma Health University Medical Group | 8325950983 | 2206 |
Entity Name | Pitts Radiological Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629029863 PECOS PAC ID: 1355245747 Enrollment ID: O20031126000485 |
Entity Name | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568799955 PECOS PAC ID: 8325950983 Enrollment ID: O20040108000041 |
Entity Name | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730786096 PECOS PAC ID: 8325950983 Enrollment ID: O20201029000932 |
Mailing Address | Practice Location Address |
---|---|
Dr Henry Cooper Black Iii, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8614 | Dr Henry Cooper Black Iii, MD 1210 W Faris Rd, Greenville, SC 29605-4444 Ph: (864) 522-1800 |
Bonnie Louise Anderson, MD Radiology Medicare: Medicare Enrolled Practice Location: 1210 W Faris Rd, Greenville, SC 29605 Phone: 864-295-4410 Fax: 864-295-5694 | |
Dr. Douglas Middleton Bull, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1210 W Faris Rd, Greenville, SC 29605 Phone: 864-522-1800 Fax: 864-522-1806 | |
Dr. Mark R Jackson, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Francis Dr, Suite 330, Greenville, SC 29601 Phone: 864-255-1834 Fax: 864-255-1836 | |
Dr. Michael Franklin Brinkley, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1210 W Faris Rd, Greenville, SC 29605 Phone: 864-522-1800 Fax: 864-522-1806 | |
Matthew Timothy Graham, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3 Saint Francis Dr Ste 360, Greenville, SC 29601 Phone: 864-233-4349 Fax: 877-417-0311 | |
Dr. Michael David Zurenko, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 65 International Dr, Greenville, SC 29615 Phone: 864-987-7000 Fax: 864-987-7020 | |
Leighton Chase Allen Jr., MD Radiology Medicare: Medicare Enrolled Practice Location: 1210 W Faris Rd, Greenville, SC 29605 Phone: 864-522-1800 Fax: 864-522-1806 |