William L Black Jr, MD | |
1485 Chester Blvd, Richmond, IN 47374-1919 | |
(765) 966-5527 | |
(765) 966-5527 |
Full Name | William L Black Jr |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 31 Years |
Location | 1485 Chester Blvd, Richmond, Indiana |
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 |
---|---|---|---|
1609800598 | NPI | - | NPPES |
3160510 | Medicaid | OH | |
000000681708 | Other | ANTHEM BCBS (RPA) | |
201003480 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 01042757A (Indiana) | Secondary |
208000000X | Pediatrics | 01042757A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Reid Hospital & Health Care Services | Richmond, IN | Hospital |
Eskenazi Health | Indianapolis, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Health And Hospital Corporation Of Marion County | 6709795974 | 210 |
Entity Name | Reid Hospital & Health Care Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437188786 PECOS PAC ID: 5799695920 Enrollment ID: O20040323001254 |
Entity Name | The Health And Hospital Corporation Of Marion County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104027879 PECOS PAC ID: 6709795974 Enrollment ID: O20041229000426 |
Mailing Address | Practice Location Address |
---|---|
William L Black Jr, MD 1100 Reid Pkwy, Medical Staff Services, Richmond, IN 47374-1157 Ph: (765) 966-5527 | William L Black Jr, MD 1485 Chester Blvd, Richmond, IN 47374-1919 Ph: (765) 966-5527 |
Hira Ahmed, Pediatrics Medicare: Medicare Enrolled Practice Location: 1485 Chester Blvd., Reid Pediatric & Internal Medicine, Richmond, IN 47374 Phone: 765-966-5527 Fax: 765-966-5528 | |
Dr. Martin Enoc Munoz, Pediatrics Medicare: Medicare Enrolled Practice Location: 1485 Chester Blvd, Reid Pediatric & Internal Medicine, Richmond, IN 47374 Phone: 765-966-5527 Fax: 765-966-5528 | |
Saira Tariq, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1100 Reid Pkwy, Richmond, IN 47374 Phone: 765-983-3000 | |
Loretta A Ryan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1434 Chester Blvd, Richmond, IN 47374 Phone: 765-966-5527 Fax: 765-966-5527 | |
Paul S Rider, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1434 Chester Blvd, Richmond, IN 47374 Phone: 765-966-5527 Fax: 765-966-5527 | |
Wendi Wang, Pediatrics Medicare: Medicare Enrolled Practice Location: 1485 Chester Blvd, Richmond, IN 47374 Phone: 659-665-5277 Fax: 765-966-5528 | |
Calli Fletcher Morris, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1100 Reid Pkwy, Richmond, IN 47374 Phone: 765-983-3000 |