John B Black, MD | |
11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 | |
(770) 991-8000 | |
Not Available |
Full Name | John B Black |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 41 Years |
Location | 11 Upper Riverdale Rd Sw, Riverdale, Georgia |
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 |
---|---|---|---|
1548247729 | NPI | - | NPPES |
000400573 | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 031702 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Piedmont Henry Hospital | Stockbridge, GA | Hospital |
Piedmont Rockdale Hospital | Conyers, GA | Hospital |
Cartersville Medical Center | Cartersville, GA | Hospital |
Piedmont Newton Hospital | Covington, GA | Hospital |
Piedmont Mountainside Hospital Inc | Jasper, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Summit Radiology Services Pc | 3577454024 | 50 |
Entity Name | Summit Radiology Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174572374 PECOS PAC ID: 3577454024 Enrollment ID: O20040323001388 |
Entity Name | Henry County Radiology Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265484182 PECOS PAC ID: 6305830514 Enrollment ID: O20040412000721 |
Mailing Address | Practice Location Address |
---|---|
John B Black, MD Po Box 100041, Kennesaw, GA 30156-9241 Ph: (770) 779-2178 | John B Black, MD 11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615 Ph: (770) 991-8000 |
Christopher I Lacy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-991-8000 | |
J. Warner Ray, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 255 Professional Ct, Riverdale, GA 30274 Phone: 770-997-8424 | |
Elizabeth L Hadley, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-991-8000 | |
Balu S Mani, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 119 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-991-1010 | |
Neal Simmons, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-991-8000 | |
John Harold Giesler, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 255 Professional Ct, Riverdale, GA 30274 Phone: 770-997-8424 |