Jeffrey B Black, MD | |
7205 265th St Nw, Stanwood, WA 98292-6221 | |
(360) 629-1505 | |
(360) 629-1513 |
Full Name | Jeffrey B Black |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 31 Years |
Location | 7205 265th St Nw, Stanwood, Washington |
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 |
---|---|---|---|
1538137112 | NPI | - | NPPES |
1012719 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 33020 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Optum Care Washington Pllc | 6406752153 | 559 |
Entity Name | Optum Care Washington Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
Mailing Address | Practice Location Address |
---|---|
Jeffrey B Black, MD Po Box 5127, Everett, WA 98206-5127 Ph: () - | Jeffrey B Black, MD 7205 265th St Nw, Stanwood, WA 98292-6221 Ph: (360) 629-1505 |
Dr. Jennifer D Lawrence, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9631 269th St Nw, Stanwood, WA 98292 Phone: 360-629-1600 Fax: 360-629-1644 | |
Dr. Grant E Taylor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7205 265th St Nw, Stanwood, WA 98292 Phone: 360-629-1500 | |
Ana Cecilia Hernandez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7205 265th St Nw, Stanwood, WA 98292 Phone: 360-629-1500 | |
Dr. Mark Litton, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9631 269th St Nw, Stanwood, WA 98292 Phone: 360-629-1600 Fax: 360-629-1644 | |
Kevin R Clay, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 7205 265th St Nw, Stanwood, WA 98292 Phone: 360-629-1504 | |
Joy R Fackenthall, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7205 265th St Nw, Stanwood, WA 98292 Phone: 360-629-1504 | |
Carol L Hoeksema, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9631 269th St Nw, Stanwood, WA 98292 Phone: 360-629-1600 Fax: 360-428-6485 |