Keith N Black, DO is a
Family Medicine physician based in Panhandle, Texas. Keith N Black is licensed to practice in Texas (license number E9543) and his current practice location is 421 Main Street, Panhandle, Texas. He can be reached at his office (for appointments etc.) via phone at
(806) 532-2273.
NPI number for Keith N Black is 1386668267 and his current mailing address is Po Box 10, Panhandle, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1386668267.
Physician's Profile
| Full Name | Keith N Black |
|---|
| Gender | Male |
|---|
| Speciality | Family Medicine |
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| Location | 421 Main Street, Panhandle, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1386668267
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 03/01/2012
Medical Identifiers
Medical identifiers for Keith N Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1386668267 | NPI | - | NPPES |
| 131469204 | Medicaid | TX | |
| E9543 | Other | TX | UNICARE |
| E9543 | Other | TX | WORKER'S COMPENSATION |
| 80138267 | Other | TX | RAILROAD MEDICARE |
| 108684100 | Other | TX | FIRST CARE |
| 1186100001 | Other | TX | CIGNA DMERC |
| 1186100001 | Other | TX | PALMETTO DMERC |
| 132180100 | Other | TX | SOUTHWEST LIFE & HEALTH |
| 84V315 | Other | TX | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | E9543 (Texas) | Primary |
| 207Q00000X | Family Medicine | 1793 (Oklahoma) | Secondary |
| 207Q00000X | Family Medicine | 0320000253 (Vermont) | Secondary |
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. Keith N 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 |
|---|
Keith N Black, DO
Po Box 10,
Panhandle, TX 79068-0010
Ph: (806) 532-2273 | Keith N Black, DO
421 Main Street,
Panhandle, TX 79068
Ph: (806) 532-2273 |
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