Paul Clifford Black, MD in Waynesville, MO

Paul Clifford Black, MD is a medicare enrolled "Family Medicine" physician in Waynesville, Missouri. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Phelps County Regional Medical Center and his current practice location is 1000 Gw Ln, Waynesville, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 774-2715.

Paul Clifford Black is licensed to practice in Missouri (license number 2020030965) 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 1285825836.

Contact Information

	Paul Clifford Black, MD
	1000 Gw Ln, Waynesville, MO 65583-2339
	(573) 774-2715
	(573) 202-2410

Map and Direction

Physician's Profile

Full Name	Paul Clifford Black
Gender	Male
Speciality	Family Practice
Experience	19 Years
Location	1000 Gw Ln, Waynesville, Missouri
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Paul Clifford Black graduated from medical school in 2005

NPI Data:

NPI Number: 1285825836
Provider Enumeration Date: 08/08/2007
Last Update Date: 10/21/2020

Medicare PECOS Information:

PECOS PAC ID: 7719041383
Enrollment ID: I20201021002426

Medical Identifiers

Medical identifiers for Paul Clifford Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285825836	NPI	-	NPPES
621584391013	Other		TRICARE
165699202	Other		BLACK LUNG

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	2020030965 (Missouri)	Primary
207Q00000X	Family Medicine	0101244723 (Virginia)	Secondary
207Q00000X	Family Medicine	44017 (Tennessee)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Phelps County Regional Medical Center	2860391158	89

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. Paul Clifford Black allows following entities to bill medicare on his behalf.

Entity Name	Phelps County Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891766051 PECOS PAC ID: 2860391158 Enrollment ID: O20040106000405

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. Paul Clifford 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
Paul Clifford Black, MD 1000 Gw Ln, Waynesville, MO 65583-2339 Ph: (573) 774-2715	Paul Clifford Black, MD 1000 Gw Ln, Waynesville, MO 65583-2339 Ph: (573) 774-2715

Reviews and Comments

Family Medicine Doctors in Waynesville, MO

Darren Keith George, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Gw Ln, Waynesville, MO 65583 Phone: 573-774-2715 Fax: 573-202-2410
Mr. Benny Earl Thomas, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 North St, Waynesville, MO 65583 Phone: 573-774-6279 Fax: 573-774-5626
Sammy Lane Radcliff, Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Gw Ln, Waynesville, MO 65583 Phone: 573-842-4000 Fax: 573-426-2108
Dr. Jeffery Alan Kerr, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Gw Ln, Waynesville, MO 65583 Phone: 573-842-4116 Fax: 573-433-2008

Paul Clifford Black, MD - Medicare Family Practice in Waynesville, MO