Gary Chase Black, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Dayton, Tennessee. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Pain Management Group Llc and his current practice location is
9400 Rhea County Hwy, Dayton, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 285-5220.
Gary Chase Black is licensed to practice in Tennessee (license number 55829) 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 1700149648.
Physician's Profile
| Full Name | Gary Chase Black |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Experience | 12 Years |
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| Location | 9400 Rhea County Hwy, Dayton, Tennessee |
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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:
- Gary Chase Black graduated from medical school in 2012
NPI Data:
- NPI Number: 1700149648
- Provider Enumeration Date: 06/15/2012
- Last Update Date: 06/01/2018
Medicare PECOS Information:
- PECOS PAC ID: 1850680976
- Enrollment ID: I20171023002932
Medical Identifiers
Medical identifiers for Gary Chase Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700149648 | NPI | - | NPPES |
| T00148A | Other | TN | MEDICARE PTAN |
| Q029957 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | LL34886 (South Carolina) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 55829 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Pain Management Group Llc | 0143453670 | 40 |
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. Gary Chase Black allows following entities to bill medicare on his behalf.
| Entity Name | Pain Management Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063831303
PECOS PAC ID: 0143453670
Enrollment ID: O20171023002714 |
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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. Gary Chase 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 |
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Gary Chase Black, MD
167 Ashley Ave, Suite 301, Msc 912,
Charleston, SC 29425-9120
Ph: (843) 792-0192 | Gary Chase Black, MD
9400 Rhea County Hwy,
Dayton, TN 37321
Ph: (423) 285-5220 |
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