Stacey Rae Black, MD - Medicare Diagnostic Radiology in Oak Ridge, TN

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Stacey Rae Black, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Oak Ridge, Tennessee. She went to University Of Texas Medical Branch At Galveston and graduated in 2004 and has 20 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Sonoran Radiology Ltd, Mountain Radiology Inc, Richland Parish Hospital Service District No 1-b, University Medical Center Of Southern Nevada and her current practice location is 990 Oak Ridge Tpke, Oak Ridge, Tennessee. You can reach out to her office (for appointments etc.) via phone at (866) 730-5619.

Stacey Rae Black is licensed to practice in Tennessee (license number 64805) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336291038.

Contact Information

Stacey Rae Black, MD
990 Oak Ridge Tpke,
Oak Ridge, TN 37830-6976
(866) 730-5619
Not Available

Map and Direction




Physician's Profile

Full NameStacey Rae Black
GenderFemale
SpecialityDiagnostic Radiology
Experience20 Years
Location990 Oak Ridge Tpke, Oak Ridge, Tennessee
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stacey Rae Black attended and graduated from University Of Texas Medical Branch At Galveston in 2004
  NPI Data:
  • NPI Number: 1336291038
  • Provider Enumeration Date: 01/16/2007
  • Last Update Date: 03/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3678798196
  • Enrollment ID: I20220403000007

Medical Identifiers

Medical identifiers for Stacey Rae Black such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336291038NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 45984 (Arizona)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 45984 (Arizona)Secondary
2085R0202XRadiology - Diagnostic Radiology 64805 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Medical CenterLas vegas, NVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sonoran Radiology Ltd3375964505393
Mountain Radiology Inc468866676168
Richland Parish Hospital Service District No 1-b216348159935
University Medical Center Of Southern Nevada7315934429249

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. Stacey Rae Black allows following entities to bill medicare on her behalf.
Entity NameRadiology Imaging Associates Of Oak Ridge Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245290857
PECOS PAC ID: 4082696273
Enrollment ID: O20040602000724
Entity NameTennessee Urology Associates, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669416442
PECOS PAC ID: 7618952706
Enrollment ID: O20040622001531
Entity NameSilicon Valley Diagnostic Imaging Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629265806
PECOS PAC ID: 5496838518
Enrollment ID: O20190611002341
Entity NameImaging Associates Of New Mexico Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629592464
PECOS PAC ID: 4981970233
Enrollment ID: O20201123001854
Entity NameSonoran Radiology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033745708
PECOS PAC ID: 3375964505
Enrollment ID: O20201124000433
Entity NameMountain Radiology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093823742
PECOS PAC ID: 4688666761
Enrollment ID: O20220118002056
Entity NamePalm Desert Radiology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124079868
PECOS PAC ID: 0749173789
Enrollment ID: O20230111000452

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. Stacey Rae 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 AddressPractice Location Address
Stacey Rae Black, MD
717 Paint Rock Ferry Rd,
Kingston, TN 37763-5040

Ph: (369) 293-0988		Stacey Rae Black, MD
990 Oak Ridge Tpke,
Oak Ridge, TN 37830-6976

Ph: (866) 730-5619

Reviews and Comments


Radiology Doctors in Oak Ridge, TN

Elliot Brin Navo, M.D.
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Dr. Joanna Gabriel Blankner, M.D.
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James I Hilton, MD
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Dr. William Kenneth Strike, MD
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Dr. Thomas Charles Lemond, M.D.
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Phone: 865-835-3760    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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