Dr Randall Wayne Black, MD in Rogers, AR

Dr Randall Wayne Black, MD is a medicare enrolled "Otolaryngology" physician in Rogers, Arkansas. He went to University Of Arkansas College Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Mercy Health Northwest Arkansas Communities and his current practice location is 5204 W Redbud Street, Rogers, Arkansas. You can reach out to his office (for appointments etc.) via phone at (479) 636-0110.

Dr Randall Wayne Black is licensed to practice in Arkansas (license number C7458) 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 1942268909.

Contact Information

	Dr Randall Wayne Black, MD
	5204 W Redbud Street, Rogers, AR 72758
	(479) 636-0110
	(479) 631-0491

Map and Direction

Physician's Profile

Full Name	Dr Randall Wayne Black
Gender	Male
Speciality	Otolaryngology
Experience	36 Years
Location	5204 W Redbud Street, Rogers, Arkansas
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 Randall Wayne Black attended and graduated from University Of Arkansas College Of Medicine in 1988

NPI Data:

NPI Number: 1942268909
Provider Enumeration Date: 05/01/2006
Last Update Date: 07/15/2014

Medicare PECOS Information:

PECOS PAC ID: 9335226778
Enrollment ID: I20080409000248

Medical Identifiers

Medical identifiers for Dr Randall Wayne Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942268909	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	C7458 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Hospital Northwest Arkansas	Rogers, AR	Hospital
Mercy Hospital Berryville	Berryville, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Health Northwest Arkansas Communities	0648177873	269

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 Randall Wayne Black allows following entities to bill medicare on his behalf.

Entity Name	Mercy Health Northwest Arkansas Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265490916 PECOS PAC ID: 0648177873 Enrollment ID: O20031216000788

Entity Name	Mercy Health Northwest Arkansas Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508167677 PECOS PAC ID: 0648177873 Enrollment ID: O20110302000405

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 Randall Wayne 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 Randall Wayne Black, MD 5204 W Redbud Street, Rogers, AR 72758 Ph: (479) 636-0110	Dr Randall Wayne Black, MD 5204 W Redbud Street, Rogers, AR 72758 Ph: (479) 636-0110

Reviews and Comments

Otolaryngology Doctors in Rogers, AR

Matthew Bridges, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 5204 W Redbud St, Rogers, AR 72758 Phone: 479-636-0110
Dr. John Reed Lee, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5204 W Redbud St, Rogers, AR 72758 Phone: 479-636-0110 Fax: 479-631-0491
Chad W Putman, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5204 W Redbud St, Rogers, AR 72758 Phone: 479-636-0110 Fax: 479-636-0491

Dr Randall Wayne Black, MD - Medicare Otolaryngology in Rogers, AR