Mr Andrew P Black, PA - C in Dayton, OH - Medicare Physician Assistant

Mr Andrew P Black, PA - C is a medicare enrolled "Physician Assistant - Medical" in Dayton, Ohio. He graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Professional Therapeutic Services, Inc., John E Murphy Iii and his current practice location is 6438 Wilmington Pike Ste 110, Dayton, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 848-4121.

Mr Andrew P Black is licensed to practice in Ohio (license number 50-002937) 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 1790011724.

Contact Information

	Mr Andrew P Black, PA - C
	6438 Wilmington Pike Ste 110, Dayton, OH 45459-7021
	(937) 848-4121
	(937) 848-5965

Map and Direction

Provider's Profile

Full Name	Mr Andrew P Black
Gender	Male
Speciality	Physician Assistant
Experience	15 Years
Location	6438 Wilmington Pike Ste 110, Dayton, Ohio
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:

Mr Andrew P Black graduated from nursing school in 2009

NPI Data:

NPI Number: 1790011724
Provider Enumeration Date: 10/27/2009
Last Update Date: 03/26/2018

Medicare PECOS Information:

PECOS PAC ID: 9436298163
Enrollment ID: I20091209000243

Medical Identifiers

Medical identifiers for Mr Andrew P Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790011724	NPI	-	NPPES
000000636013	Other	OH	BCBS-OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	50-002937 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kettering Homecare	Kettering, OH	Home health agency
Miami Valley Hospital	Dayton, OH	Hospital
Greene Memorial Hospital	Xenia, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Professional Therapeutic Services, Inc.	1355253337	62
John E Murphy Iii	3274684766	4

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. Mr Andrew P 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
Mr Andrew P Black, PA - C 6438 Wilmington Pike Ste 110, Dayton, OH 45459-7021 Ph: (937) 848-4121	Mr Andrew P Black, PA - C 6438 Wilmington Pike Ste 110, Dayton, OH 45459-7021 Ph: (937) 848-4121

Reviews and Comments

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Mr Andrew P Black, PA - C - Medicare Physician Assistant in Dayton, OH