Geoffrey Wayne Black, MD is a
Family Medicine physician based in Prather, California. Geoffrey Wayne Black is licensed to practice in California (license number A72268) and his current practice location is 29369 Auberry Rd, Suite 102, Prather, California. He can be reached at his office (for appointments etc.) via phone at
(559) 855-5390.
NPI number for Geoffrey Wayne Black is 1821000787 and his current mailing address is 2123 Everglade Ave, Clovis, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821000787.
Physician's Profile
| Full Name | Geoffrey Wayne Black |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
|---|
| Location | 29369 Auberry Rd, Prather, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1821000787
- Provider Enumeration Date: 08/12/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Geoffrey Wayne Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821000787 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | A72268 (California) | Primary |
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. Geoffrey Wayne Black is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Geoffrey Wayne Black, MD
2123 Everglade Ave,
Clovis, CA 93619-2818
Ph: (559) 434-0551 | Geoffrey Wayne Black, MD
29369 Auberry Rd, Suite 102,
Prather, CA 93651-9784
Ph: (559) 855-5390 |
Reviews and Comments