Mrs Neicole Dutton Black, PA-C in Florence, SC - Medicare Physician Assistant

Mrs Neicole Dutton Black, PA-C is a medicare enrolled "Physician Assistant" in Florence, South Carolina. Her current practice location is 2410 Hoffmeyer Rd, Florence, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 882-6162.

Mrs Neicole Dutton Black is licensed to practice in South Carolina (license number 1091) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1033158548.

Contact Information

	Mrs Neicole Dutton Black, PA-C
	2410 Hoffmeyer Rd, Florence, SC 29501-7311
	(843) 882-6162
	(843) 662-8183

Map and Direction

Provider's Profile

Full Name	Mrs Neicole Dutton Black
Gender	Female
Speciality	Physician Assistant
Location	2410 Hoffmeyer Rd, Florence, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033158548
Provider Enumeration Date: 06/06/2006
Last Update Date: 09/05/2019

Medicare PECOS Information:

PECOS PAC ID: 8022024827
Enrollment ID: I20060303000170

Medical Identifiers

Medical identifiers for Mrs Neicole Dutton Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033158548	NPI	-	NPPES
8103286	Medicaid	NC
1091	Other	SC	STATE LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	1091 (South Carolina)	Secondary
363A00000X	Physician Assistant	1091 (South Carolina)	Primary

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. Mrs Neicole Dutton 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
Mrs Neicole Dutton Black, PA-C 60 Commerce Plaza Cir, Pembroke, NC 28372-7386 Ph: (910) 521-2900	Mrs Neicole Dutton Black, PA-C 2410 Hoffmeyer Rd, Florence, SC 29501-7311 Ph: (843) 882-6162

Reviews and Comments

Physician Assistant Nurses in Florence, SC

Susannah Graham, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 805 Pamplico Hwy, Florence, SC 29505 Phone: 843-792-1414
Leslie Marie Armstrong, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1204 E Cheves St, Florence, SC 29506 Phone: 843-673-0122
Whitney Lenore Sims, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 William H Johnson St Ste 600, Florence, SC 29506 Phone: 843-667-1891 Fax: 843-665-2516
Ms. Mahnoor Mushtaq, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 555 E Cheves St, Florence, SC 29506 Phone: 843-777-2000
Taylor Barnes Buckner, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 101 William H Johnson St Ste 100, Florence, SC 29506 Phone: 843-777-7043
Ashley Tumlin Moody, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 S Ravenel St, Suite 230, Florence, SC 29506 Phone: 843-777-7043 Fax: 843-777-7041

Mrs Neicole Dutton Black, PA-C - Medicare Physician Assistant in Florence, SC