Dr James Clinton Black, MD | |
480 Floyd Rd Ste A, Spartanburg, SC 29307-1518 | |
(864) 582-2188 | |
(864) 582-2117 |
Full Name | Dr James Clinton Black |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 15 Years |
Location | 480 Floyd Rd Ste A, Spartanburg, 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 |
---|---|---|---|
1043452741 | NPI | - | NPPES |
1043452741 | Medicaid | MO | |
837955 | Medicaid | SC | |
SCH6477628 | Other | SC | MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | 2014000282 (Missouri) | Secondary |
207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | 83795 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Interim Healthcare Of The Upstate | Greenville, SC | Home health agency |
Spartanburg Regional Home Health | Spartanburg, SC | Home health agency |
Spartanburg Medical Center | Spartanburg, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spartanburg Medical Center | 3072425297 | 912 |
Entity Name | Spartanburg Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760114664 PECOS PAC ID: 3072425297 Enrollment ID: O20040108000827 |
Mailing Address | Practice Location Address |
---|---|
Dr James Clinton Black, MD Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304 | Dr James Clinton Black, MD 480 Floyd Rd Ste A, Spartanburg, SC 29307-1518 Ph: (864) 582-2188 |
Dr. Ian Gao, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1330 Boiling Springs Rd Ste 1600, Spartanburg, SC 29303 Phone: 864-582-6396 Fax: 864-582-1608 | |
Dr. Jason Lee Dickherber, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1330 Boiling Springs Rd Ste 1600, Spartanburg, SC 29303 Phone: 864-582-6396 | |
Christopher Curtis Elliott, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 303 E Wood St, Spartanburg, SC 29303 Phone: 864-208-8847 Fax: 864-208-8142 | |
Dr. Anthony A Sanchez, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 303 E Wood St, Spartanburg, SC 29303 Phone: 864-208-8800 Fax: 864-208-0318 | |
Walter Grady, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 480 Floyd Rd, Spartanburg, SC 29307 Phone: 864-582-2115 Fax: 864-582-2117 | |
John Scott Broderick, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 480 Floyd Rd, Suite A, Spartanburg, SC 29307 Phone: 864-582-2188 Fax: 864-582-2117 |