Dr Ryan Duane Black, DO is a medicare enrolled "Otolaryngology" physician in Gillette, Wyoming. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2004 and has 20 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Campbell County Hospital District and his current practice location is
501 S Burma Ave, Gillette, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 688-0110.
Dr Ryan Duane Black is licensed to practice in Wyoming (license number 14427A) 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 1619024544.
Physician's Profile
| Full Name | Dr Ryan Duane Black |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 20 Years |
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| Location | 501 S Burma Ave, Gillette, Wyoming |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ryan Duane Black attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2004
NPI Data:
- NPI Number: 1619024544
- Provider Enumeration Date: 01/04/2007
- Last Update Date: 04/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567472939
- Enrollment ID: I20230222001084
Medical Identifiers
Medical identifiers for Dr Ryan Duane Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619024544 | NPI | - | NPPES |
| 208D00000X | Other | OK | TAXONOMY CODE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207YX0602X | Otolaryngology - Otolaryngic Allergy | 14427A (Wyoming) | Secondary |
| 207Y00000X | Otolaryngology | 14427A (Wyoming) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Campbell County Hospital District | 2860392529 | 110 |
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 Ryan Duane Black allows following entities to bill medicare on his behalf.
| Entity Name | Campbell County Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710098868
PECOS PAC ID: 2860392529
Enrollment ID: O20040206000510 |
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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 Ryan Duane 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 Ryan Duane Black, DO
501 S Burma Ave,
Gillette, WY 82716-3426
Ph: (307) 688-1000 | Dr Ryan Duane Black, DO
501 S Burma Ave,
Gillette, WY 82716-3426
Ph: (307) 688-0110 |
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