Dr Hayden Dean Black, OD in Henryetta, OK - Medicare Optometry Provider

Dr Hayden Dean Black, OD is a medicare enrolled "Optometrist" provider in Henryetta, Oklahoma. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Henryetta Eye Center and his current practice location is 900 W Main St, Henryetta, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 652-2345.

Dr Hayden Dean Black is licensed to practice in Oklahoma (license number 3112) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1184294464.

Contact Information

	Dr Hayden Dean Black, OD
	900 W Main St, Henryetta, OK 74437-4252
	(918) 652-2345
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Hayden Dean Black
Gender	Male
Speciality	Optometry
Experience	3 Years
Location	900 W Main St, Henryetta, Oklahoma
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Hayden Dean Black graduated from medical school in 2021

NPI Data:

NPI Number: 1184294464
Provider Enumeration Date: 06/29/2021
Last Update Date: 10/06/2021

Medicare PECOS Information:

PECOS PAC ID: 9638560360
Enrollment ID: I20220106001430

Medical Identifiers

Medical identifiers for Dr Hayden Dean Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184294464	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3112 (Oklahoma)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Henryetta Eye Center	4880764489	3

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. Dr Hayden Dean Black allows following entities to bill medicare on his behalf.

Provider Name	Henryetta Eye Center
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174727622 PECOS PAC ID: 4880764489 Enrollment ID: O20080609000764

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. Dr Hayden Dean 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
Dr Hayden Dean Black, OD 611 W Louise St, Henryetta, OK 74437-6243 Ph: (918) 284-0164	Dr Hayden Dean Black, OD 900 W Main St, Henryetta, OK 74437-4252 Ph: (918) 652-2345

Reviews and Comments

Optometrist in Henryetta, OK

Henryetta Eye Center Optometrist Medicare: Medicare Enrolled Practice Location: 900 W Main St, Henryetta, OK 74437 Phone: 918-652-2345 Fax: 918-652-2537
Mrs. Sarah Elizabeth Mulliniks, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 900 W Main St, Henryetta, OK 74437 Phone: 918-652-2345 Fax: 918-652-2537
Dr. Gary Jay Lavalley, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 900 W Main St, Henryetta, OK 74437 Phone: 918-652-2345 Fax: 918-652-2537
Lavalley Vision Care, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 900 W Main St, Henryetta, OK 74437 Phone: 918-652-2345 Fax: 918-652-2537
Gary Jay Lavalley, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 900 W Main St, Henryetta, OK 74437 Phone: 918-652-2345 Fax: 918-652-2537
Dr. Michael L Brian, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 900 W Main St, Henryetta, OK 74437 Phone: 918-652-2345 Fax: 918-652-2537

Dr Hayden Dean Black, OD - Medicare Optometrist in Henryetta, OK